Provider Demographics
NPI:1669773214
Name:B.E.S.T. PHYSICAL THERAPY OF LONG ISLAND P.C.
Entity type:Organization
Organization Name:B.E.S.T. PHYSICAL THERAPY OF LONG ISLAND P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:CALDERON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:631-513-7597
Mailing Address - Street 1:118 SINGWORTH ST
Mailing Address - Street 2:
Mailing Address - City:OYSTER BAY
Mailing Address - State:NY
Mailing Address - Zip Code:11771-3728
Mailing Address - Country:US
Mailing Address - Phone:631-513-7597
Mailing Address - Fax:
Practice Address - Street 1:118 SINGWORTH ST
Practice Address - Street 2:
Practice Address - City:OYSTER BAY
Practice Address - State:NY
Practice Address - Zip Code:11771-3728
Practice Address - Country:US
Practice Address - Phone:631-513-7597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-14
Last Update Date:2010-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031343-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty