Organization
GENERATIONS PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY VIOLA (OFFICE MGR.)
(631) 661-3700
Entity
Organization
Contact information
Practice address
400 MONTAUK HWY, SUITE 103, WEST ISLIP, NY 11795-4208
(631) 661-3700
(631) 661-3749
Mailing address
400 MONTAUK HWY, SUITE 103, WEST ISLIP, NY 11795-4208
(631) 661-3700
(631) 661-3749
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
7484
NY
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
07/05/2006
Last updated
09/01/2015
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