Organization
OCEAN VALLEY PHYSICAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERICLES HADJIYANE MD (PRESIDENT)
(516) 341-0579
Entity
Organization
Contact information
Practice address
275 N CENTRAL AVE, VALLEY STREAM, NY 11580-2525
(516) 341-0579
(516) 593-7991
Mailing address
275 N CENTRAL AVE, VALLEY STREAM, NY 11580-2525
(516) 341-0579
(516) 593-7991
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
198348
NY
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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