Organization
SKILLED PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY YURICIC PT (PRESIDENT)
(516) 326-4793
Entity
Organization
Contact information
Practice address
1575 HILLSIDE AVE, SUITE 305, NEW HYDE PARK, NY 11040-2501
(516) 354-9250
Mailing address
35 IRIS LN, NEW HYDE PARK, NY 11040-2123
(516) 326-4793
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
013109-1
NY
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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