Organization
FIRE ISLAND PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN HENRY DPT (PHYSICAL THERAPIST)
(631) 300-8787
Entity
Organization
Contact information
Practice address
786 EVERGREEN WALK, OCEAN BEACH, NY 11770-2025
(631) 300-8787
(631) 532-4012
Mailing address
PO BOX 328, OCEAN BEACH, NY 11770-0328
(631) 300-8787
(631) 532-4012
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036507
—
NY
Enumeration date
05/17/2019
Last updated
12/31/2021
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