Doctor Name: | MATTHEW BALDWIN DEEGAN |
NPI Number: | 1659462281 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 021149 |
Business Practice Address: | 141 E Main St Huntington, NY - 117432852 |
Business Phone Number: | 6314219111 |
Business Fax Number: | 6314211622 |
Mailing Address: | 141 E Main St, HUNTINGTON |
State: | NY |
Postal Code: | 117432852 |
Phone Number: | 6314219111 |
Fax Number: | 6314211622 |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 05/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 021149 |
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 |