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NPI Code Detail

MEDICARE: GO PHYSICAL THERAPY AND WELLNESS PC

MEDICARE: GO PHYSICAL THERAPY AND WELLNESS 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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1740573930
Entity Type Code : Organization
Provider Name (Legal Business Name) : GO PHYSICAL THERAPY AND WELLNESS PC
Provider Business Mailing Address
First Line : 5 EDWARDS ST
Second Line : APT 1G
City : ROSLYN HEIGHTS
State : NY
Zip : 11577-1105
Country : US
Telephone Number : 516-946-6442
Fax Number :
Provider Business Practice Location Address
First Line : 5 EDWARDS ST
Second Line : APT 1G
City : ROSLYN HEIGHTS
State : NY
Zip : 11577-1105
Country : US
Telephone Number : 516-946-6442
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MICHAEL ZAGARE
Credential : PT
Telephone Number : 516-946-6442
Provider Enumeration Date : 05/19/2011
Last Update Date : 08/20/2013

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Directions to “GO PHYSICAL THERAPY AND WELLNESS PC ” Practice Location

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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.