Organization · Type 2 NPI

Montefiore Medical Center

Physical Therapist · East Patchogue, NY

NPI number 1104649292 Active

Practice location

655 E Montauk Hwy Ste 23
East Patchogue, NY 11772-3154

Call (631) 456-5512 Map

Fax (631) 456-5514

Mailing address

100 Corporate Dr Ste 100
Yonkers, NY 10701-6807

Specialties and licenses

Taxonomy	Code	License
Physical Therapist Primary	225100000X	None listed
Occupational Therapist	225X00000X	None listed

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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NPI record

NPI: 1104649292
Entity type: Organization (Type 2)
Issued: Nov 6, 2024
Last updated: Jul 7, 2025
Status: Active

Other names

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Access PT East Patchogue · other name
Access PT East Patchogue · other name

Authorized official

John M Preolo
Senior Director Provider Credential
(914) 608-5063

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104649292

Montefiore Medical Center's National Provider Identifier is 1104649292, issued on Nov 6, 2024. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in East Patchogue, NY. The record was last updated on Jul 7, 2025.