| Organization Name: | LINEHAN PHYSICAL THERAPY OF LONG ISLAND, PC |
| NPI Number: | 1205040359 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN LINEHAN (PHYSICAL THERAPIST/OWNER) |
| Mailing Address: | 650 Hawkins Ave Suite 4 Ronkonkoma |
| State: | NY US |
| Postal Code: | 117792366 |
| Phone Number: | 6319817422 |
| Fax Number: | 6319812490 |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 03/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |