Doctor Name: | MR. PAUL ANTHONY COLONNA |
NPI Number: | 1689764904 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 8012 |
Business Practice Address: | 1575 Hillside Ave 305 New Hyde Park, NY - 110402501 |
Business Phone Number: | 5163549250 |
Business Fax Number: | 5163585359 |
Mailing Address: | 1575 Hillside Ave, 305 NEW HYDE PARK |
State: | NY |
Postal Code: | 110402501 |
Phone Number: | 5163549250 |
Fax Number: | 5163585359 |
NPI Enumeration Date: | 10/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 8012 |
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 |