Organization
MID-ISLAND PHYSICAL MEDICINE AND REHABILITATION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINE PINES (OFFICE MANAGER)
(516) 338-5182
Entity
Organization
Contact information
Practice address
15 JERICHO TPKE, JERICHO, NY 11753-1001
(516) 338-5182
(516) 338-5184
Mailing address
15 JERICHO TPKE, JERICHO, NY 11753-1001
(516) 338-5182
(516) 338-5184
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
163001
NY
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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