Provider Demographics
NPI:1881900744
Name:ACCELERATED PHYSICAL THERAPY P.C.
Entity type:Organization
Organization Name:ACCELERATED PHYSICAL THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MYRA
Authorized Official - Middle Name:MONSALES
Authorized Official - Last Name:CABAHUG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:516-765-3274
Mailing Address - Street 1:3939 BEECHWOOD PL
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-2026
Mailing Address - Country:US
Mailing Address - Phone:516-765-3274
Mailing Address - Fax:631-789-1985
Practice Address - Street 1:333 BROADWAY
Practice Address - Street 2:SUITE2
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-2719
Practice Address - Country:US
Practice Address - Phone:631-789-1900
Practice Address - Fax:631-789-1985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-29
Last Update Date:2010-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015778261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy