Organization Name: | SUPERIOR PHYSICAL THERAPY SERVICES, PC |
NPI Number: | 1811296809 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BOZENA PISLA KHALIL (PRESIDENT/ PHYSICAL THERAPIST) |
Mailing Address: | 13 Duke Dr Manhasset Hills |
State: | NY US |
Postal Code: | 110401207 |
Phone Number: | 9177471771 |
Fax Number: | 5168691155 |
NPI Enumeration Date: | 03/16/2011 |
NPI Last Update Date: | 03/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 015452 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |