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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

NPI # 1851819023
LBN Legal business name FAM PHYSICAL THERAPY OF MILLER PLACE PC
Authorized official TANYA DUMORNAY - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2017
Last updated 09/07/2017 - About 9 years ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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