Individual
AMY PIACENTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5 ALISTER CIR, EAST NORTHPORT, NY 11731-6403
(631) 543-7771
Mailing address
5 ALISTER CIR, EAST NORTHPORT, NY 11731-6403
(631) 543-7771
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
020812-1
NY
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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