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Organization

IN HOME THERAPY OF LONG ISLAND

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEINRICK TAN (OWNER)
(516) 605-2008
Entity
Organization

Contact information

Practice address
39 GARDENIA LN, LEVITTOWN, NY 11756-3332
(516) 605-2008
(516) 605-2008
Mailing address
39 GARDENIA LN, LEVITTOWN, NY 11756-3332
(516) 605-2008
(516) 605-2008

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
024243
NY

Other

Enumeration date
10/23/2011
Last updated
10/23/2011
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