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NORTH SHORE PHYSICAL MEDICINE AND REHABILITATION SERVICES PC NPI 1255479119


NPI Information

NPI: 1255479119
Provider Name: NORTH SHORE PHYSICAL MEDICINE AND REHABILITATION SERVICES, PC
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Organization
Address:
4 EXPRESSWAY PLZ
STE 110
ROSLYN HEIGHTS, NY
ZIP 11577
Phone: (516) 621-4062
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NORTH SHORE PHYSICAL MEDICINE AND REHABILITATION SERVICES, PC is a rehabilitation practitioner in Roslyn Heights, NY. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. NORTH SHORE PHYSICAL MEDICINE AND REHABILITATION SERVICES, PC NPI is 1255479119. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4 EXPRESSWAY PLZ
STE 110
ROSLYN HEIGHTS, NY
ZIP 11577-059
Phone: (516) 621-4062
Fax: (516) 621-1848

The provider's authorized official is Barry C. Root .
The authorized official title is Owner President and has the following contact phone number (516) 621-4062.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 11/6/2008.


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
1225400000XRehabilitation Practitioner167868-1NEW 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
1W38421MEDICARE ID-TYPE UNSPECIFIEDNEW YORKGROUP #

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: 4/28/2024

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