Doctor Name: | MR. MICHAEL J CASTANIA |
NPI Number: | 1013101344 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 40QA01249900 |
Business Practice Address: | 187 Millburn Ave Suite 110 Millburn, NJ - 070411847 |
Business Phone Number: | 9734677976 |
Business Fax Number: | 9734677971 |
Mailing Address: | 30 Ramblewood Ave, STATEN ISLAND |
State: | NY |
Postal Code: | 103082647 |
Phone Number: | 9734677976 |
Fax Number: | 9734677971 |
NPI Enumeration Date: | 08/29/2007 |
NPI Last Update Date: | 08/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01249900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |