Organization
SUMMIT SPORTS & SPINAL PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIERAN TRAYNOR PT, MS (PRESIDENT)
(914) 834-5490
Entity
Organization
Contact information
Practice address
1420 BOSTON POST RD, LARCHMONT, NY 10538-3922
(914) 834-5490
(914) 834-5402
Mailing address
5 PILGRIM RD, SCARSDALE, NY 10583-6725
(914) 834-5490
(914) 834-5402
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
17658
NY
Other
Enumeration date
05/12/2006
Last updated
08/22/2020
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