Organization Name: | CHOICE SPINE JOINT & NEUROLOGY,PC |
NPI Number: | 1114124161 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN RICCIARDELLI (PRESIDENT) |
Mailing Address: | 799 Route 25a Rocky Point |
State: | NY US |
Postal Code: | 117788564 |
Phone Number: | 6317444777 |
Fax Number: | 6317443220 |
NPI Enumeration Date: | 07/02/2007 |
NPI Last Update Date: | 08/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 160146 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |