Individual
ANDREA PRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
66 COMMACK RD STE 300, COMMACK, NY 11725-3405
(631) 486-5286
Mailing address
2142 UTOPIA PKWY, WHITESTONE, NY 11357-4142
(718) 819-6800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
042471
NY
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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