Organization
BACK TO HEALTH PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK VAYSMAN D.P.T. (PRESIDENT)
(347) 244-2530
Entity
Organization
Contact information
Practice address
1731 SEAGIRT BLVD, FAR ROCKAWAY, NY 11691-4513
(718) 868-8668
Mailing address
458 BEACH 142 STR., ROCKAWAY PARK, NY 11694
(347) 244-2530
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023238
NY
225X00000X
Occupational Therapist
DDP3487
NY
Other
Enumeration date
03/08/2007
Last updated
06/06/2024
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