Mary Stavridis Mooney in Smithtown - Physical Therapist
Mary Stavridis Mooney - NPI 1053444505
Mary Stavridis Mooney is a Physical Therapist in Smithtown, New York. Mary Stavridis Mooney practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Mary Stavridis Mooney is 1053444505. The last update date is 2007-07-08.
Mary Stavridis Mooney's current location address is 66 Merrivale Dr, Smithtown, New York. You can contact this provider via phone number 6312653027. The mailing address for Mary Stavridis Mooney is 66 Merrivale Dr, Smithtown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Stavridis Mooney |
|---|---|
| Address | 66 Merrivale Dr, Smithtown, New York |
| Phone Number | 6312653027 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1053444505 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 66 Merrivale Dr |
|---|---|
| City | Smithtown |
| State | New York (NY) |
| Post Code | 117874448 |
| Phone Number | 6312653027 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 6678 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6678 | NY | PHYSICAL THERAPY LICENSE | |
| 5913183 | NY | CERTIFICATE NUMBER |
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What is the unique identifier code issued to Mary Stavridis Mooney by the Centers for Medicare & Medicaid Services?
The Mary Stavridis Mooney has been assigned the NPI (National Provider Identifier) 1053444505. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary Stavridis Mooney?
The Mary Stavridis Mooney is situated at 66 Merrivale Dr, in the city of Smithtown, state of NY, with the zip code 117874448.
What is Mary Stavridis Mooney's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary Stavridis Mooney is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053444505 to Mary Stavridis Mooney?
The Centers for Medicare & Medicaid Services originally issued the 1053444505 to Mary Stavridis Mooney on 2007-03-13.
As of what date were the Mary Stavridis Mooney's details last updated?
The information pertaining to the Mary Stavridis Mooney, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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