Organization
ST. JAMES PLAZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY J COSGRIFF PT (PHYSICAL THERAPIST)
(631) 862-8990
Entity
Organization
Contact information
Practice address
273 MORICHES RD, SAINT JAMES, NY 11780-2117
(631) 862-8990
Mailing address
21 COLONIAL RD, SMITHTOWN, NY 11787-3432
(631) 724-5325
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
015167
NY
313M00000X
Nursing Facility/Intermediate Care Facility
015167
NY
Other
Enumeration date
05/02/2007
Last updated
09/11/2025
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