Main Street Physical Therapy and Hand Rehabilitation of Kings Park, Pl
NPI #1043385206 in Kings Park, New York
Provider Information
- NPI Number
- 1043385206
- Entity Type
- Organization
- Organization Name
- Main Street Physical Therapy and Hand Rehabilitation of Kings Park, Pl
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Nov 22, 2006
- Last Updated
- Feb 5, 2015
Practice Location
- Address
- 152 W MAIN STREET
- City
- Kings Park
- State
- New York
- ZIP Code
- 11754
- Phone
- (631) 269-6652
Authorized Official
- Name
- DAVID FONTANA, PTA
- Title
- TREASURER
- Phone
- (631) 269-6652
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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