Organization
FITNESS PHYSICAL THERAPY AND REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA VAYNSHTOK PT (PRESIDENT)
(718) 676-4112
Entity
Organization
Contact information
Practice address
153 E MERRICK RD, VALLEY STREAM, NY 11580-5925
(718) 676-4112
Mailing address
153 E MERRICK RD, VALLEY STREAM, NY 11580-5925
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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