Contract Details
Facility name
Garden City Physical Therapy Assoc
Provider ID
P000005486
NPI
1861430191
Tax ID
113412084
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
601 Franklin Ave
Garden City, NY 11530
United States
County
Nassau
Phone
5162483812 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Rehabilitation Facility
Map
Address