Organization
LONG ISLAND BALANCE AND VESTIBULAR PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MEGNA PT, NCS (OWNER)
(631) 724-5433
Entity
Organization
Contact information
Practice address
732 SMITHTOWN BYP, SUITE 102A, SMITHTOWN, NY 11787-5020
(631) 724-5433
(631) 724-5478
Mailing address
154 JACKSON AVE S, SAINT JAMES, NY 11780-2833
(631) 584-3145
(631) 724-5478
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
010950-1
NY
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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