Main Street Physical Therapy PC
NPI #1134350630 in New Hyde Park, New York
Provider Information
- NPI Number
- 1134350630
- Entity Type
- Organization
- Organization Name
- Main Street Physical Therapy PC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jul 31, 2009
- Last Updated
- May 2, 2013
Practice Location
- Address
- 51 FARREL ST
- City
- New Hyde Park
- State
- New York
- ZIP Code
- 11040-2407
- Phone
- (516) 850-1285
Authorized Official
- Name
- MR. VENKATESAN SIVARAMAN, P.T.
- Title
- OWNER
- Phone
- (516) 850-1285
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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