Provider Demographics
NPI:1427438621
Name:ISLANDWIDE PHYSICAL THERAPY AND CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:ISLANDWIDE PHYSICAL THERAPY AND CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NAPOLITANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-987-5992
Mailing Address - Street 1:22 GEORGIA DR
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4821
Mailing Address - Country:US
Mailing Address - Phone:516-921-1395
Mailing Address - Fax:516-921-1393
Practice Address - Street 1:60 N PARK AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-4159
Practice Address - Country:US
Practice Address - Phone:516-987-5992
Practice Address - Fax:516-992-1139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty