Individual
MR. MATTHEW F COLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
15 DIXIE LN, EAST ISLIP, NY 11730-2518
(516) 380-8450
(631) 650-1791
Mailing address
15 DIXIE LN, EAST ISLIP, NY 11730-2518
(516) 380-8450
(631) 650-1791
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
011517-1
NY
2251X0800X
Orthopedic Physical Therapist
011517-1
NY
Other
Enumeration date
05/16/2006
Last updated
12/13/2007
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