Organization
PHYSICAL THERAPY ASSOCIATES OF LAKE SUCCESS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA HITSOUS (M.D.)
(516) 353-0256
Entity
Organization
Contact information
Practice address
444 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1165
(516) 353-0256
Mailing address
444 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1165
(516) 353-0256
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
003786
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
004454
NY
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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