The South Shore Wellness Center Corp

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

THE SOUTH SHORE WELLNESS CENTER CORP

Practice address

2915 Sunrise Hwy
Islip Terrace, NY 11752-2716

Phone

(631) 581-6900

Fax

(631) 581-6910

NPI assigned

Sep 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lisa M Palermo, DVM

Title

President

Phone

(631) 581-6900

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1588850358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 SUNRISE HWY",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117522716",
            "telephone_number": "631-581-6900",
            "fax_number": "631-581-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 SUNRISE HWY",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117522716",
            "telephone_number": "631-581-6900",
            "fax_number": "631-581-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SOUTH SHORE WELLNESS CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "PALERMO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-581-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DVM"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatis NP in Psychiatry PC (The Neural Nook)
• Angela Jessica Tatis, DNP, PMHNP-BC
• Aleksey Tentler, MD
• Terrace Dental Associates PLLC
• Michael James Terry, OT
• Paige Thorsen
• Liliana Tique, M.D.
• Joanne Tomossone, MA,CCC,SLP
• Chandrakant L Trivedi, PHARMACIST
• Lexis Tudisco

• Physical Therapy Clinic/Center in Islip Terrace, NY
• Providers in Islip Terrace, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.