Provider Demographics
NPI:1841756418
Name:POSNER, ELLIOT EMMANUEL (PT)
Entity Type:Individual
Prefix:
First Name:ELLIOT
Middle Name:EMMANUEL
Last Name:POSNER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 WEST HUDSON STREET
Mailing Address - Street 2:BETWEEN LINDELL BLVD AND WASHINGTON BLVD
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-1725
Mailing Address - Country:US
Mailing Address - Phone:516-395-1370
Mailing Address - Fax:
Practice Address - Street 1:551 W HUDSON ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-1725
Practice Address - Country:US
Practice Address - Phone:516-395-1370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-19
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
016267225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY016267OtherNYS PHYSICAL THERAPY LICENSE NUMBER