Organization
CENTRAL VALLEY STREAM PHYSICAL THERAPY PLLC
Active
Organization
CENTRAL VALLEY STREAM PHYSICAL THERAPY PLLC
Active
Other names
New York Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN GREENE MSPT (PRESIDENT)
(516) 825-1112
Entity
Organization
Contact information
Practice address
20 W LINCOLN AVE, VALLEY STREAM, NY 11580-5730
(516) 825-1112
(516) 256-0503
Mailing address
20 W LINCOLN AVE STE 205, VALLEY STREAM, NY 11580-5731
(516) 825-1112
(516) 256-0503
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
06/09/2024
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