Doctor Name: | MICHAEL ROBERT TANGERT |
NPI Number: | 1609190453 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 032507-1 |
Business Practice Address: | 42 Saratoga Rd Scotia, NY - 123023412 |
Business Phone Number: | 5183996861 |
Business Fax Number: | 5183996864 |
Mailing Address: | 178 Clizbe Ave, AMSTERDAM |
State: | NY |
Postal Code: | 120102935 |
Phone Number: | 5188421425 |
Fax Number: | 5188421706 |
NPI Enumeration Date: | 03/23/2010 |
NPI Last Update Date: | 03/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 032507-1 |
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 |