Long Island Pediatric Physical Therapy, PC

NPI #1245379759 in Floral Park, New York

Provider Information

NPI Number: 1245379759
Entity Type: Organization
Organization Name: Long Island Pediatric Physical Therapy, PC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 5, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 99 TULIP AVE
Address 2: SUITE 407
City: Floral Park
State: New York
ZIP Code: 11001-1974
Phone: (516) 358-9146

Authorized Official

Name: MR. PHILIP J KOCH, PT
Title: PRESIDENT
Phone: (516) 358-9146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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