Provider Demographics
NPI:1003080649
Name:HECTOR MELGAR PT PC
Entity Type:Organization
Organization Name:HECTOR MELGAR PT PC
Other - Org Name:TRI MOTION PHYSICAL THERAPY AND REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:A
Authorized Official - Last Name:MELGAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:631-366-4474
Mailing Address - Street 1:PO BOX 5196
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-0107
Mailing Address - Country:US
Mailing Address - Phone:631-366-4474
Mailing Address - Fax:631-366-4473
Practice Address - Street 1:740 VETERANS HWY
Practice Address - Street 2:SUITE 203
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-2329
Practice Address - Country:US
Practice Address - Phone:631-366-4474
Practice Address - Fax:631-366-4473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022133261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ7WXW1Medicare PIN