Provider Demographics
NPI:1891106365
Name:NEW DAY IN-HOME PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:NEW DAY IN-HOME PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KEANEY-GANNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-445-2241
Mailing Address - Street 1:31 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-1133
Mailing Address - Country:US
Mailing Address - Phone:631-445-2241
Mailing Address - Fax:888-821-0799
Practice Address - Street 1:31 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-1133
Practice Address - Country:US
Practice Address - Phone:631-445-2241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-18
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy