Provider Demographics
NPI:1215159355
Name:BERNARD FINNERTY D/B/A HAMPTON PHYSICAL THERAPY
Entity type:Organization
Organization Name:BERNARD FINNERTY D/B/A HAMPTON PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:FINNERTY
Authorized Official - Suffix:
Authorized Official - Credentials:MA,PT,OCS
Authorized Official - Phone:631-728-6377
Mailing Address - Street 1:188 W MONTAUK HWY
Mailing Address - Street 2:SUITEE4
Mailing Address - City:HAMPTON BAYS
Mailing Address - State:NY
Mailing Address - Zip Code:11946-2363
Mailing Address - Country:US
Mailing Address - Phone:631-728-6377
Mailing Address - Fax:631-728-6922
Practice Address - Street 1:188 W MONTAUK HWY
Practice Address - Street 2:SUITEE4
Practice Address - City:HAMPTON BAYS
Practice Address - State:NY
Practice Address - Zip Code:11946-2363
Practice Address - Country:US
Practice Address - Phone:631-728-6377
Practice Address - Fax:631-728-6922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003881225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ0WPD1Medicare ID - Type UnspecifiedGROUP MEDICARE ID