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NPI Code Detail

MEDICARE: LIFETIME PHYSICAL THERAPY AND CHIROPRACTIC REHABILITATION PLLC

MEDICARE: LIFETIME PHYSICAL THERAPY AND CHIROPRACTIC REHABILITATION PLLC
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
1111N00000XChiropractor012560MN
2225100000XPhysical Therapist026960NY

General Provider Information

NPI Number : 1821453572
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFETIME PHYSICAL THERAPY AND CHIROPRACTIC REHABILITATION PLLC
Provider Business Mailing Address
First Line : 750 ZECKENDORF BLVD
Second Line :
City : GARDEN CITY
State : NY
Zip : 11530-2133
Country : US
Telephone Number : 516-513-1510
Fax Number : 516-513-1511
Provider Business Practice Location Address
First Line : 1000 ZECKENDORF BLVD
Second Line :
City : GARDEN CITY
State : NY
Zip : 11530-2133
Country : US
Telephone Number : 516-513-1510
Fax Number : 516-513-1511
Authorized Official
Title or Position : OWNER
Name : MR. DAVID IAN LIPETZ
Credential : MSPT, OCS, CERT.MDT
Telephone Number : 516-513-1510
Provider Enumeration Date : 12/23/2015
Last Update Date : 03/23/2016

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Directions to “LIFETIME PHYSICAL THERAPY AND CHIROPRACTIC REHABILITATION PLLC ” 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.

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