Organization
INTERVENTIONAL PHYSICAL MEDICINE AND REHAB OF NEW YORK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA RIVERA (OFFICE MANAGER)
(516) 888-7614
Entity
Organization
Contact information
Practice address
1615 NORTHERN BLVD, GR 1, MANHASSET, NY 11030
(516) 888-7614
Mailing address
8 SUMTER AVE, EAST WILLISTON, NY 11596-2433
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
11/04/2021
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