OrganizationActive
Immordino Capital Corp
NPI 1508676560 · Rehabilitation Clinic/Center · East Northport, NY
Provider details
- NPI number
- 1508676560
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Immordino, Owner(631) 683-8044
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Practice location
4097 Jericho Tpke
East Northport, NY 11731-6211
Phone: (631) 683-8044
Approximate (ZIP-level) locationGet directions
Mailing address
89 Suffolk Ln
Garden City, NY 11530-1535
Other names (DBA / former)
- Doing business as
- Stretchlab
Registry dates
- Enumerated
- 2025-01-11
- Last updated
- 2025-01-11
- Certified
- 2025-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.