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BODY IN BALANCE PHYSICAL THERAPY NPI 1780952796


NPI Information

NPI: 1780952796
Provider Name: BODY IN BALANCE PHYSICAL THERAPY

Doing Business As: MILLENNIUM PHYSICAL THERAPY & SPORTS MEDICINE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
19413 NORTHERN BLVD
FLUSHING, NY
ZIP 11358
Phone: (718) 428-3500
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BODY IN BALANCE PHYSICAL THERAPY is a specialist in Flushing, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BODY IN BALANCE PHYSICAL THERAPY NPI is 1780952796. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Millennium Physical Therapy & Sports Medicine.

The provider's business location address is:

19413 NORTHERN BLVD
FLUSHING, NY
ZIP 11358-032
Phone: (718) 428-3500
Fax: (718) 428-0800

The provider's authorized official is Theodosios Neamonitis .
The authorized official title is Owner/president/physical Therapist and has the following contact phone number (718) 932-1269.

The enumeration date for this NPI number is 12/5/2011 and was last updated on 12/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist024817-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
106775MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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