Organization
SELECT PT, OT & SLP REHABILITATION NY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA GARDINA (CHIEF EXECUTIVE OFFICER)
(847) 441-5593
Entity
Organization
Contact information
Practice address
125 HARRY HOWARD AVE, HUDSON, NY 12534-1601
(518) 828-7695
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(678) 491-6692
(847) 386-5196
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
12/23/2021
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