MEDICARE: TLC CLOVE LAKE PHYSICAL THERAPY 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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1659549715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TLC CLOVE LAKE PHYSICAL THERAPY PC

Provider Business Mailing Address
First Line	:	1428 VICTORY BLVD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10301-3908
Country	:	US
Telephone Number	:	718-698-3055
Fax Number	:	718-448-1875

Provider Business Practice Location Address
First Line	:	1428 VICTORY BLVD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10301-3908
Country	:	US
Telephone Number	:	718-698-3055
Fax Number	:	718-448-1875

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. TOA CHRIS WONG
Credential	:	PT
Telephone Number	:	718-238-9392

Provider Enumeration Date	:	02/12/2008
Last Update Date	:	02/12/2008

Similar Medicare Providers

1043208325 — MR. LARRY J. KOPELMAN P.T.
Practice Location Address:

1428 VICTORY BLVD
STATEN ISLAND, NY
10301-3908

Practice Phone: 718-698-3055
Practice Fax: 718-448-1875

1437132594 — DR. CHRISTOPHER LAPORTA MD
Practice Location Address:

1384 VICTORY BLVD
STATEN ISLAND, NY
10301-3908

Practice Phone: 718-981-5900
Practice Fax: 718-273-9589

1851300271 — DR. SEETHA R MURUKUTLA M.D
Practice Location Address:

1384 VICTORY BLVD
STATEN ISLAND, NY
10301-3908

Practice Phone: 718-273-2277
Practice Fax: 718-273-3114

1184633513 — RICHMOND CANCER AND BLOOD DISORDERS P.C.
Practice Location Address:

1384 VICTORY BLVD
STATEN ISLAND, NY
10301-3908

Practice Phone: 718-273-2277
Practice Fax: 718-273-3114

1962503003 — DR. ROBERT ENGEL D.P.M.
Practice Location Address:

1398 VICTORY BLVD
STATEN ISLAND, NY
10301-3908

Practice Phone: 718-981-4515
Practice Fax:

1487853503 — NEW ERA MEDICINE PLLC
Practice Location Address:

1428 VICTORY BLVD
STATEN ISLAND, NY
10301-3908

Practice Phone: 866-715-1727
Practice Fax: 866-715-1727

Directions to “TLC CLOVE LAKE PHYSICAL THERAPY PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.