| Organization Name: | PHYSIOLOGIC PHYSICAL THERAPY PC |
| NPI Number: | 1356325799 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONNA J CROCE (PRESIDENT) |
| Mailing Address: | 98 Cuttermill Rd #100 Great Neck |
| State: | NY US |
| Postal Code: | 11021 |
| Phone Number: | 5164664118 |
| Fax Number: | 5164662856 |
| NPI Enumeration Date: | 11/30/2005 |
| NPI Last Update Date: | 12/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 0084451 |
| 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 |