Doctor Name: | MR. STEPHEN A WILEY |
NPI Number: | 1588058275 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 038400-1 |
Business Practice Address: | 55 Bryant Ave 2nd Floor Roslyn, NY - 115761139 |
Business Phone Number: | 5164849775 |
Business Fax Number: | 5166257701 |
Mailing Address: | 225 Howells Rd, 2nd Floor BAY SHORE |
State: | NY |
Postal Code: | 117065319 |
Phone Number: | 6316654560 |
Fax Number: | 6316657213 |
NPI Enumeration Date: | 03/20/2015 |
NPI Last Update Date: | 03/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 038400-1 |
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 |