Organization
SOUTH SHORE SI PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR LIZASO PT (OWNER/PHYSICAL THERAPIST)
(718) 227-0198
Entity
Organization
Contact information
Practice address
4870 HYLAN BLVD, STATEN ISLAND, NY 10312-6322
(718) 356-1337
Mailing address
4870 HYLAN BLVD, STATEN ISLAND, NY 10312-6322
(718) 356-1337
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
016967-1
NY
Other
Enumeration date
07/22/2008
Last updated
04/01/2009
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