Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

101 Avenue Physical Therapy PC

Organization Physical Therapist · NPI 1710404173

101 Avenue Physical Therapy PC is a Physical Therapist in Great Neck, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

277 Northern Blvd Ste 301
Great Neck, NY 11021-4703
Phone: (516) 472-7861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 36145 (NY)

Record details

NPI number1710404173
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Changhun Lee — President · (516) 472-8761
NPI enumeratedAugust 26, 2017
Last updated in NPPESAugust 26, 2017
Mailing address277 Northern Blvd Ste 301, Great Neck, NY 11021-4703

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