Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tlc Clove Lake Physical Therapy PC

Organization Physical Therapist · NPI 1659549715

Tlc Clove Lake Physical Therapy PC provides Physical Therapist services in Staten Island, New York. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1428 Victory Blvd
Staten Island, NY 10301-3908 Not confirmed with CMS for 18 years — call before visiting
Phone: (718) 698-3055
Fax: (718) 448-1875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1659549715
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Toa Wong — Director · (718) 238-9392
NPI enumeratedFebruary 12, 2008
Last updated in NPPESFebruary 12, 2008
Mailing address1428 Victory Blvd, Staten Island, NY 10301-3908

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