| Organization Name: | LISA NATHANSON, P.T. P.C. |
| NPI Number: | 1841507993 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA NATHANSON (PHYSICAL THERAPIST) |
| Mailing Address: | 4025 Austin Blvd Suite 2 Island Park |
| State: | NY US |
| Postal Code: | 115581221 |
| Phone Number: | 5164311383 |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2010 |
| NPI Last Update Date: | 09/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 007273 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |