Provider Demographics
NPI:1093094328
Name:GYROTONIC MANHASSET PT LLC
Entity Type:Organization
Organization Name:GYROTONIC MANHASSET PT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARNI
Authorized Official - Middle Name:
Authorized Official - Last Name:LARKIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-734-7748
Mailing Address - Street 1:20 BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:PLANDOME
Mailing Address - State:NY
Mailing Address - Zip Code:11030-1405
Mailing Address - Country:US
Mailing Address - Phone:917-734-7748
Mailing Address - Fax:516-869-5992
Practice Address - Street 1:57 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-2229
Practice Address - Country:US
Practice Address - Phone:917-734-7748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-04
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014452261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy