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Contact Information

ILLARI PHYSCIAL THERAPY P.C.
2799 ROUTE 112 STE 5
MEDFORD, NY11763
 Phone: 631-438-0400
 Fax: 631-438-0401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for ILLARI PHYSCIAL THERAPY P.C.

NPI # 1164872669
LBN Legal business name ILLARI PHYSCIAL THERAPY P.C.
Authorized official MEGAN ILLARI - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2016
Last updated 05/10/2022 - About 4 years ago
Identifiers
NY License # 018220
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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