Healthcare Provider Details

I. General information

NPI: 1457931214
Provider Name (Legal Business Name): BABIEC & ROTH PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2021
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 ROBBINS LN
SYOSSET NY
11791-6005
US

IV. Provider business mailing address

295 ROBBINS LN
SYOSSET NY
11791-6005
US

V. Phone/Fax

Practice location:
  • Phone: 212-439-1596
  • Fax:
Mailing address:
  • Phone: 212-439-1596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: GREGORY BABIEC
Title or Position: OWNER
Credential:
Phone: 212-439-1596