Doctor Name: | MR. KEVIN H LYSAGHT |
NPI Number: | 1538361100 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 021743-1 |
Business Practice Address: | 900 Walt Whitman Rd Suite 310 Melville, NY - 117472293 |
Business Phone Number: | 6319232288 |
Business Fax Number: | 6317146142 |
Mailing Address: | 71 Bankside Dr, CENTERPORT |
State: | NY |
Postal Code: | 117211738 |
Phone Number: | 6319962420 |
Fax Number: | 6317146142 |
NPI Enumeration Date: | 06/04/2007 |
NPI Last Update Date: | 06/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 021743-1 |
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 |