Organization
PROGRESSIVE PHYSICAL THERAPY OF NY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD LEICHTER MA,PT (OWNER)
(631) 331-6047
Entity
Organization
Contact information
Practice address
28 N COUNTRY RD, SUITE 104, MOUNT SINAI, NY 11766-1518
(631) 331-6047
Mailing address
81 TALLMADGE TRL, MILLER PLACE, NY 11764-2327
(631) 473-6418
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
015547
NY
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
02/22/2007
Last updated
08/25/2021
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