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NPI Code Detail

MEDICARE: LINEHAN PHYSICAL THERAPY OF LONG ISLAND, PC

MEDICARE: LINEHAN PHYSICAL THERAPY OF LONG ISLAND, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/CenterNY

General Provider Information

NPI Number : 1205040359
Entity Type Code : Organization
Provider Name (Legal Business Name) : LINEHAN PHYSICAL THERAPY OF LONG ISLAND, PC
Provider Business Mailing Address
First Line : PO BOX 144
Second Line :
City : RONKONKOMA
State : NY
Zip : 11779-0144
Country : US
Telephone Number : 631-981-7422
Fax Number : 631-981-2490
Provider Business Practice Location Address
First Line : 650 HAWKINS AVE
Second Line : SUITE 4
City : RONKONKOMA
State : NY
Zip : 11779-2366
Country : US
Telephone Number : 631-981-7422
Fax Number : 631-981-2490
Authorized Official
Title or Position : PHYSICAL THERAPIST/OWNER
Name : MS. KAREN LINEHAN
Credential : M.PT
Telephone Number : 631-981-7422
Provider Enumeration Date : 05/09/2007
Last Update Date : 03/13/2013

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Directions to “LINEHAN PHYSICAL THERAPY OF LONG ISLAND, PC ” Practice Location

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