| Doctor Name: | HOLLY A BERDINKA |
| NPI Number: | 1225210354 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | 029787 |
| Business Practice Address: | 445 Woodcliff Dr Mattituck, NY - 119522929 |
| Business Phone Number: | 6312745229 |
| Business Fax Number: | |
| Mailing Address: | 15 Carmody St, MANORVILLE |
| State: | NY |
| Postal Code: | 119492416 |
| Phone Number: | 6319093442 |
| Fax Number: | |
| NPI Enumeration Date: | 11/30/2007 |
| NPI Last Update Date: | 09/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 029787 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |