Organization
GFM REHAB PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLADYS FARYDE MATERON P.T. (PRESIDENT)
(347) 645-0779
Entity
Organization
Contact information
Practice address
56 WYCKOFF ST, HICKSVILLE, NY 11801-2836
(516) 597-4020
(516) 597-4021
Mailing address
56 WYCKOFF ST, HICKSVILLE, NY 11801-2836
(516) 597-4020
(516) 597-4021
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
014794-1
NY
Other
Enumeration date
06/15/2013
Last updated
06/15/2013
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