Organization
BROOKHAVEN PHYSICAL THERAPY
Active
Other names
Miller Place Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD A MCCREA PT (OWNER)
(631) 345-2005
Entity
Organization
Contact information
Practice address
200 MIDDLE COUNTRY RD, MIDDLE ISLAND, NY 11953-2520
(631) 345-2005
(631) 345-5007
Mailing address
41 ECHO AVE, MILLER PLACE, NY 11764-2108
(631) 331-2348
(631) 928-7068
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
011801-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0210001
HEALTHNET ORTHONET
NY
01
—
107487200
ACS
NY
01
—
12067099
MULTIPLAN
NY
01
—
124896
VYTRA
NY
01
—
1295268
UNITED HEALTHCARE
NY
01
—
1C0216
HEALTHNET
NY
01
—
20473P
HIP
NY
01
—
2176073
FIRST HEALTH
NY
01
—
6602110
GHI
NY
01
—
813476
MPN
NY
01
—
A493957
OXFORD
NY
01
—
AZ00671
MDNY
NY
01
—
DM0Q03821
BCBS
NY
Enumeration date
05/15/2007
Last updated
06/16/2008
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