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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