Doctor Name: | MR. FRANK JOHN KERSHIS |
NPI Number: | 1538276415 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, COMT |
License Number: | 01570 |
Business Practice Address: | 1010 Route 112 Suite 200 Port Jefferson Station, NY - 117763097 |
Business Phone Number: | 6314764880 |
Business Fax Number: | 6314764887 |
Mailing Address: | 1010 Route 112, Suite 200 PORT JEFFERSON STATION |
State: | NY |
Postal Code: | 117763097 |
Phone Number: | 6314764880 |
Fax Number: | 6314764887 |
NPI Enumeration Date: | 08/24/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 01570 |
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 |