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LONG ISLAND BALANCE AND VESTIBULAR PT NPI 1790890622


NPI Information

NPI: 1790890622
Provider Name: LONG ISLAND BALANCE AND VESTIBULAR PT
Classification: Physical Therapist - 2251N0400X
Entity Type: Organization

Specialization: Neurology

Address:
732 SMITHTOWN BYP
SUITE 102A
SMITHTOWN, NY
ZIP 11787
Phone: (631) 724-5433
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LONG ISLAND BALANCE AND VESTIBULAR PT is a neurology physical therapist in Smithtown, NY. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology. LONG ISLAND BALANCE AND VESTIBULAR PT NPI is 1790890622. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

732 SMITHTOWN BYP
SUITE 102A
SMITHTOWN, NY
ZIP 11787-020
Phone: (631) 724-5433
Fax: (631) 724-5478

The provider's authorized official is James Megna .
The authorized official title is Owner and has the following contact phone number (631) 724-5433.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 8/22/2020.


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
12251N0400XPhysical TherapistNeurology010950-1NEW YORKYes

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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