Doctor Name: | MR. ELMER SANTOS DY TIOCO |
NPI Number: | 1922031558 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 024431 |
Business Practice Address: | 600 S Livingston Ave Suite 210 Livingston, NJ - 070395419 |
Business Phone Number: | 8005303247 |
Business Fax Number: | 9737409007 |
Mailing Address: | 112 Columbia Ave, DUMONT |
State: | NJ |
Postal Code: | 076283523 |
Phone Number: | 6462092055 |
Fax Number: | 2013382177 |
NPI Enumeration Date: | 07/08/2006 |
NPI Last Update Date: | 02/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 024431 |
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 |