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Organization

NEW YORK PHYSICAL THERAPY, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EVAN A GREENE MSPT (ADMINISTRATOR)
(516) 825-1112
Entity
Organization

Contact information

Practice address
20 W LINCOLN AVE STE 205, VALLEY STREAM, NY 11580-5731
(516) 825-1112
(516) 256-0503
Mailing address
20 W LINCOLN AVE STE 205, VALLEY STREAM, NY 11580-5731
(516) 825-1112
(516) 256-0503

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2C5440
HEALTHNET PROVIDER NUMBER
NY
01
6602469
GHI PROVIDER NUMBER
NY
01
A475926
OXFORD PROVIDER NUMBER
NY
01
Q51621
BLUE CROSS PROVIDER #
NY
Enumeration date
01/31/2006
Last updated
02/07/2026
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