Provider Demographics
NPI:1588789614
Name:MANHASSET PHYSICAL THERAPY ASSOCIATES
Entity type:Organization
Organization Name:MANHASSET PHYSICAL THERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWANDOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:516-627-7436
Mailing Address - Street 1:1350 NORTHERN BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3004
Mailing Address - Country:US
Mailing Address - Phone:516-627-7436
Mailing Address - Fax:516-627-6469
Practice Address - Street 1:1350 NORTHERN BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3004
Practice Address - Country:US
Practice Address - Phone:516-627-7436
Practice Address - Fax:516-627-6469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty