Western Nassau Pt
NPI #1093861163 in New Hyde Park, New York
Provider Information
- NPI Number
- 1093861163
- Entity Type
- Organization
- Organization Name
- Western Nassau Pt
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 25, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1730 LAKEVILLE RD
- City
- New Hyde Park
- State
- New York
- ZIP Code
- 11040-2506
- Phone
- (516) 326-4580
Authorized Official
- Name
- JOSEPH FRANCIS SULLIVAN, PT, OCS
- Title
- PRESIDENT
- Phone
- (516) 326-4580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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