Bay Shore Physical Therapy

NPI #1740353481 in Bay Shore, New York

Provider Information

NPI Number: 1740353481
Entity Type: Organization
Organization Name: Bay Shore Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Nov 17, 2006
Last Updated: Jun 11, 2008

Practice Location

Address: 1590 UNION BLVD
City: Bay Shore
State: New York
ZIP Code: 11706
Phone: (631) 665-2421

Authorized Official

Name: NICK PORILLICO, PT
Title: PRESIDENT
Phone: (631) 665-2421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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Provider Name	Specialty	City
MRS. Jennifer Anne Tiseo, MA, PT	Physical Therapist	Bay Shore	AI Deep Dive
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Anthony P Lubrano, DPT	Physical Therapist	Bay Shore	AI Deep Dive
Jaclyn Sarah Carabott, DPT	Physical Therapist	Bay Shore	AI Deep Dive
DR. Colleen Marie Kerins, DPT	Physical Therapist	Bay Shore	AI Deep Dive

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