Doctor Name: | JOHN ZASTAWRNY |
NPI Number: | 1609803899 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 21651-1 |
Business Practice Address: | 16 Main St Hilton, NY - 144681211 |
Business Phone Number: | 5853922001 |
Business Fax Number: | |
Mailing Address: | 16 Main St, HILTON |
State: | NY |
Postal Code: | 144681211 |
Phone Number: | 5853922001 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 03/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 21651-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |