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Contact Information

FAM PHYSICAL THERAPY OF MILLER PLACE PC
275 ROUTE 25A
MILLER PLACE, NY11764-2427
 Phone: 631-364-8114
 Fax: 631-364-8117
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for FAM PHYSICAL THERAPY OF MILLER PLACE PC · (Female)

NPI # 1851819023
Status Active
Credentials
Entity Individual
Enumeration date 09/07/2017
Last updated 09/07/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 014530-1
  • NY Other 610109100 ACS FEDERAL WORKERS COMPENSATION
  • NY Other Q04B71 BCBS
  • NY Other 813473 EMPIRE PLAN (UHC)
  • NY Other 6697912 GHI
  • NY Other 218211P HIP
  • NY Other P3151561 OXFORD
  • NY Other 51376 VYTRA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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