Main Street Physical Therapy and Hand Rehabilitation of Kings Park, Pl
Main Street Physical Therapy and Hand Rehabilitation of Kings Park, Pl is a Physical Medicine & Rehabilitation Physician in Kings Park, New York. Licensed in New York. Registered with an NPI since 2006.
- Licensed in
- NY
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
152 W Main StKings Park, NY 11754
Phone: (631) 269-6652
Fax: (631) 269-6654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X (NY) |
|---|---|
| Physical Medicine & Rehabilitation Physician | Taxonomy 208100000X · Licence 011230 (NY) |
| Physical Medicine & Rehabilitation Physician | Taxonomy 208100000X · Licence 0227181 (NY) |
Record details
| NPI number | 1043385206 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Fontana — Treasurer · (631) 269-6652 |
| NPI enumerated | November 22, 2006 |
| Last updated in NPPES | February 5, 2015 |
| Mailing address | 152 W Main Street, Kings Park, NY 11754 |