Healthcare Provider Details

I. General information

NPI: 1558619858
Provider Name (Legal Business Name): VAE PHYSICAL THERAPY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2012
Last Update Date: 08/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 OSBORNE RD
WEST HEMPSTEAD NY
11552-1302
US

IV. Provider business mailing address

52 OSBORNE RD
WEST HEMPSTEAD NY
11552-1302
US

V. Phone/Fax

Practice location:
  • Phone: 516-510-7709
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: VALERIE ESPOSITO
Title or Position: PHYSICAL THERAPIST-OWNER
Credential:
Phone: 516-510-7709