Organization
SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL VAKNIN PT (VICE PRESIDENT)
(516) 321-7801
Entity
Organization
Contact information
Practice address
45 CROSSWAYS PARK DR W, WOODBURY, NY 11797-2002
(516) 621-1170
Mailing address
3 HUNTINGTON QUADRANGLE STE 103N, MELVILLE, NY 11747-4601
(516) 474-2816
Taxonomy
Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
Primary
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
07/12/2020
Last updated
12/08/2022
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