Organization
ISLAND PHYSICAL THERAPY OF RIVERHEAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT J BARRY PT DPT (CO OWNER PRESIDENT)
(631) 208-4443
Entity
Organization
Contact information
Practice address
185 OLD COUNTRY RD, SUITE 4, RIVERHEAD, NY 11901
(631) 208-4443
(631) 208-4448
Mailing address
185 OLD COUNTRY RD, SUITE 4, RIVERHEAD, NY 11901
(631) 208-4443
(631) 208-4448
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126269
VYTRA VINCENT BARRY
—
01
—
801062
EMPIRE GOVT C BARRY
—
01
—
801067
EMPIRE GOVT J SCALAMANDRE
—
01
—
818365
EMPIRE GOVT V BARRY
—
01
—
Q07B0
EMPIRE CATHERINE BARRY
—
01
—
QL8661
EMPIRE JOHN SCALAMANDRE
—
01
—
QM5151
EMPIRE VINCENT BARRY
—
Enumeration date
02/06/2007
Last updated
10/11/2023
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