Healthcare Provider Details

I. General information

NPI: 1750926713
Provider Name (Legal Business Name): METRO ACUPUNCTURE MASSAGE AND PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2019
Last Update Date: 11/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E GATE BLVD
GARDEN CITY NY
11530-2105
US

IV. Provider business mailing address

800 E GATE BLVD
GARDEN CITY NY
11530-2105
US

V. Phone/Fax

Practice location:
  • Phone: 516-745-8070
  • Fax:
Mailing address:
  • Phone: 516-745-8070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: SHERRIE GLASSER
Title or Position: CO OWNER
Credential: MSPT
Phone: 516-745-8070