| Doctor Name: | ANTHONY EDWARD LODATO |
| NPI Number: | 1487795514 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 017412 |
| Business Practice Address: | 1303 Roanoke Ave Riverhead, NY - 119012748 |
| Business Phone Number: | 6313693694 |
| Business Fax Number: | 6313693594 |
| Mailing Address: | 83 Grove Ave, PATCHOGUE |
| State: | NY |
| Postal Code: | 117724113 |
| Phone Number: | 6317587688 |
| Fax Number: | 6314470919 |
| NPI Enumeration Date: | 02/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 017412 |
| 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 |