Provider Demographics
NPI:1902088008
Name:BRIAN ARM PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:BRIAN ARM PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:ARM
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:631-477-4959
Mailing Address - Street 1:27 WILLIAMS WAY S
Mailing Address - Street 2:
Mailing Address - City:CALVERTON
Mailing Address - State:NY
Mailing Address - Zip Code:11933-1335
Mailing Address - Country:US
Mailing Address - Phone:631-591-2324
Mailing Address - Fax:
Practice Address - Street 1:74825A MAIN RD
Practice Address - Street 2:SUITE 2
Practice Address - City:GREENPORT
Practice Address - State:NY
Practice Address - Zip Code:11944-2830
Practice Address - Country:US
Practice Address - Phone:631-477-4959
Practice Address - Fax:631-477-4184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020686-1261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy