Organization · Type 2 NPI

Roosevelet PT PC

Clinic/Center · Valley Stream, NY

NPI number 1215733829 Active

Practice location

591 W Merrick Rd
Valley Stream, NY 11580-5119

Call (516) 206-0100 Map

Fax (516) 206-0101

Mailing address

121 Winham Ave
Staten Island, NY 10306-4930

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1215733829

Roosevelet PT PC's National Provider Identifier is 1215733829, issued on Feb 24, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Valley Stream, NY. The record was last updated on Feb 24, 2025.