Individual
STEPHEN A SANACORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
1213 WARWICK ST, UNIONDALE, NY 11553
(516) 650-0899
Mailing address
1213 WARWICK ST, UNIONDALE, NY 11553-1416
(516) 650-0899
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003503-1
NY
225700000X
Massage Therapist
018076-1
NY
Other
Enumeration date
07/03/2007
Last updated
06/13/2018
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