Organization
NORTH SHORE PHYSICAL MEDICINE AND REHABILITATION SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY C. ROOT MD (OWNER PRESIDENT)
(516) 621-4062
Entity
Organization
Contact information
Practice address
4 EXPRESSWAY PLZ, STE 110, ROSLYN HEIGHTS, NY 11577-2059
(516) 621-4062
(516) 621-1848
Mailing address
PO BOX 1357, BAYVILLE, NY 11709-0357
(516) 794-4161
(516) 794-9568
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
167868-1
NY
Other
Enumeration date
02/02/2007
Last updated
11/06/2008
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