MEDICARE: ADRIATIC PHYSICAL THERAPY

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
1	261QP2000X	Physical Therapy Clinic/Center		NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1619064144	OTHER	NY	PHYSICAL THERAPY

General Provider Information

NPI Number	:	1366584054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADRIATIC PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	1039 CEDAR DR E
Second Line	:
City	:	MANHASSET HILLS
State	:	NY
Zip	:	11040-1201
Country	:	US
Telephone Number	:	516-873-9646
Fax Number	:	516-873-9672

Provider Business Practice Location Address
First Line	:	1039 CEDAR DR E
Second Line	:
City	:	MANHASSET HILLS
State	:	NY
Zip	:	11040-1201
Country	:	US
Telephone Number	:	516-873-9646
Fax Number	:	516-873-9672

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ZDENKO BEG
Credential	:	PT
Telephone Number	:	516-873-9646

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	08/22/2020

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Directions to “ADRIATIC PHYSICAL THERAPY ” Practice Location

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