NPI 1013461847

South Shore Pediatric Physical Therapy

Organisation Case Management Agency North Bellmore, NY

Practice location

Address: 2415 Jerusalem Ave, North Bellmore, NY 11710-1870
Phone: (516) 785-5257
Mailing address: 86 Melrose Ave, Lynbrook, NY 11563-3703

Authorised official

Name: Nicole Vito
Title: Service Coordinator
Phone: (516) 946-0547

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1013461847
Entity type: Organization
NPI issued: 10 Aug 2016
Record last updated: 10 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.