Organization Name: | SUYDAM PHYSICAL THERAPY |
NPI Number: | 1295943843 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL SUYDAM (PRES) |
Mailing Address: | 2209 Merrick Rd Ste 206 Merrick |
State: | NY US |
Postal Code: | 115664770 |
Phone Number: | 5167712623 |
Fax Number: | 5167712623 |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 50321 |
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 |