Organization
INNOVATIVE PHYSICAL THERAPY OF LONG ISLAND P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANIV RAICH DPT (OWNER, PT)
(516) 747-2323
Entity
Organization
Contact information
Practice address
193 JERICHO TPKE, MINEOLA, NY 11501-1702
(516) 747-2323
(516) 747-2305
Mailing address
193 JERICHO TPKE, MINEOLA, NY 11501-1702
(516) 747-2323
(516) 747-2305
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
031561
NY
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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