Provider Demographics
NPI:1790964740
Name:PRECISION PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:PRECISION PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUSSAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSULLAMI
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:516-682-8560
Mailing Address - Street 1:140 EILEEN WAY
Mailing Address - Street 2:SUITE 700
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791
Mailing Address - Country:US
Mailing Address - Phone:516-682-8560
Mailing Address - Fax:516-682-8562
Practice Address - Street 1:140 EILEEN WAY
Practice Address - Street 2:SUITE 700
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791
Practice Address - Country:US
Practice Address - Phone:516-682-8560
Practice Address - Fax:516-682-8562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty