National Provider Identifier Database

FAM PHYSICAL THERAPY OF MILLER PLACE PC
Sports Medicine

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.


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
* Sports Medicine 2081S0010X

* Indicates primary specialty

NPI Profile & details for FAM PHYSICAL THERAPY OF MILLER PLACE PC

NPI Number 1851819023
Legal business name
LBN
FAM PHYSICAL THERAPY OF MILLER PLACE PC
Authorized official TANYA DUMORNAY - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 09/07/2017
Last updated 09/07/2017 - About 9 years ago
Sole proprietor1 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

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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