| Doctor Name: | MR. R CHRIS PRENTISS |
| NPI Number: | 1073591764 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT,OCS,CERT.MDT,CSCS |
| License Number: | 011690 |
| Business Practice Address: | 763 Larkfield Rd Suite 101 Commack, NY - 117253131 |
| Business Phone Number: | 6314620118 |
| Business Fax Number: | 6314620827 |
| Mailing Address: | 763 Larkfield Rd, Suite 101 COMMACK |
| State: | NY |
| Postal Code: | 117253131 |
| Phone Number: | 6314620118 |
| Fax Number: | 6314620827 |
| NPI Enumeration Date: | 01/04/2006 |
| NPI Last Update Date: | 09/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 011690 |
| 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 |