Doctor Name: | MATTHEW MACINA |
NPI Number: | 1003282930 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 039145 |
Business Practice Address: | 132 W 96th St Suite 1a New York, NY - 100256418 |
Business Phone Number: | 2122492758 |
Business Fax Number: | 2122492506 |
Mailing Address: | 2142 Utopia Pkwy, WHITESTONE |
State: | NY |
Postal Code: | 113574142 |
Phone Number: | 7188196800 |
Fax Number: | 3478419109 |
NPI Enumeration Date: | 08/14/2015 |
NPI Last Update Date: | 08/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 039145 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |