Organization
PERFORM PHYSICAL THERAPY AND PILATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELINDA STOSKI PT, DPT,MS,OCS,CPI (OWNER)
(516) 220-4177
Entity
Organization
Contact information
Practice address
141 LIDO BLVD, LIDO BEACH, NY 11561-4833
(516) 220-4177
(516) 992-2282
Mailing address
141 LIDO BLVD, LIDO BEACH, NY 11561-4833
(516) 220-4177
(516) 992-2282
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
013055
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024301
ORTHONET
—
01
—
0123036
GHI PROV #
NY
01
—
107959P
HIP PROV #
NY
01
—
11303
MAGNACARE PROV #
NY
01
—
1174577217
INDIVIDUAL NPI
NY
01
—
133998
VYTRA PROV #
NY
01
—
1495973
CIGNA PROV #
NY
01
—
2607498
UHC
NY
01
—
6C5374
HEALTHNET
NY
01
—
803355
MPN
NY
01
—
Q35E42
BCBS PROV #
NY
Enumeration date
01/14/2007
Last updated
06/14/2008
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