OrganizationActive
North Shore - Lij Health System
NPI 1295852192 · Rehabilitation Clinic/Center · Manhasset, NY
Provider details
- NPI number
- 1295852192
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Justin Ettinger, Physical Therapist
- License
- 026037 (NY)
Practice location
1554 Northern Blvd
Pm&r
Manhasset, NY 11030-3006
Phone: (516) 627-8670
Mailing address
3 Cornwall Ln
Carle Place, NY 11514-1086
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.