Shining Star Physical Therapy Pc

LBN: Shining Star Physical Therapy Pc
Shining Star Physical Therapy Pc is an health care organization with primary practice located at 1700 Great Neck Rd , Copiague NY 11726-2723. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Shining Star Physical Therapy Pc can be contacted via phone (631) 608-8700, or through Labial, Myra Ranada via phone (347) 392-8515.

Contact Information

Primary practice address
1700 Great Neck Rd Copiague NY 11726-2723
Phone: (631) 608-8700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Labial, Myra Ranada MS PT
Phone: (347) 392-8515

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 029064-1 New York

Profile Details

NPI number 1588178297
LBN Legal business name Shining Star Physical Therapy Pc
DBA Doing business as
Authorized official Labial, Myra Ranada MS PT
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2017
Last updated Nov 17th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588178297 NPPES
New York Other 0290641 LISCENCE

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