Organization Name: | MATTHEW COLUCCI P.T.,P.C. |
NPI Number: | 1053472209 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATTHEW F. COLUCCI (PRESIDENT) |
Mailing Address: | 15 Dixie Ln East Islip |
State: | NY US |
Postal Code: | 117302518 |
Phone Number: | 5163808450 |
Fax Number: | 6316501791 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 12/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 011517 |
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 |