Healthcare Provider Details

I. General information

NPI: 1922935717
Provider Name (Legal Business Name): KBF PHYSICAL THERAPY WELLNESS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 DEER PARK AVE
NORTH BABYLON NY
11703-4307
US

IV. Provider business mailing address

710 DEER PARK AVE
NORTH BABYLON NY
11703-4307
US

V. Phone/Fax

Practice location:
  • Phone: 631-587-0946
  • Fax: 631-587-0979
Mailing address:
  • Phone: 631-587-0946
  • Fax: 631-587-0979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: KAREN BAXTER FURNO
Title or Position: PHYSICAL THERAPIST
Credential: P.T.
Phone: 631-587-0946