Organization Name: | EAST ISLIP PHYSICAL THERAPY AND REHABILITATION PC |
NPI Number: | 1629255989 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATTHEW MANGIONE (OWNER) |
Mailing Address: | 126 E Main St Ste 2 East Islip |
State: | NY US |
Postal Code: | 117302600 |
Phone Number: | 6315817707 |
Fax Number: | 6315810049 |
NPI Enumeration Date: | 01/29/2008 |
NPI Last Update Date: | 12/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |