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General NPI Number Information
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NPI Number | 1780656009
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Entity Type | Individual
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Provider Name | ROBERT D. MCKEE JR. PT
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Gender | Male
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 68 S CENTRAL AVE
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City | VALLEY STREAM
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State | NY
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Zip | 11580-5407
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Country | US
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Telephone | 516-825-1112
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Fax | 516-256-0503
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Provider Business Mailing Address
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Address Line | 13 DEEPWATER AVE
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City | MASSAPEQUA
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State | NY
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Zip | 11758-8208
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Country | US
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Telephone | 516-795-0185
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Fax | 561-797-5057
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 4485
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License Number State | NY
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