Doctor Name: | DR. ANDREW MARTINO |
NPI Number: | 1366688178 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 2305205717 |
Business Practice Address: | 255 Lafayette Ave Physical Therapy Suffern, NY - 109014812 |
Business Phone Number: | 8453685253 |
Business Fax Number: | |
Mailing Address: | 255 Lafayette Ave, Physical Therapy SUFFERN |
State: | NY |
Postal Code: | 109014812 |
Phone Number: | 8453685253 |
Fax Number: | |
NPI Enumeration Date: | 12/29/2008 |
NPI Last Update Date: | 07/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305205717 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |