Steven C. Desousa, Pt, Pc in East Northport - Sports
Steven C. Desousa, Pt, Pc - NPI 1487786158
Steven C. Desousa, Pt, Pc is a Sports in East Northport, New York. Steven C. Desousa, Pt, Pc practices all healthcare services and medical treatments related to Sports. The NPI Number for Steven C. Desousa, Pt, Pc is 1487786158. The last update date is 2008-04-20.
Steven C. Desousa, Pt, Pc's current location address is 554 Larkfield Rd, East Northport, New York. You can contact this provider via phone number 6312664501 and fax number 6312664502. The mailing address for Steven C. Desousa, Pt, Pc is 554 Larkfield Rd, East Northport, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Steven C. Desousa, Pt, Pc |
|---|---|
| Address | 554 Larkfield Rd, East Northport, New York |
| Phone Number | 6312664501 |
| Fax Number | 6312664502 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE ADM |
|---|---|
| Authorized Official Name | Desousa A Jennifer |
| Telephone Number | 6317571791 |
NPI Number Detail
| NPI Number | 1487786158 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 554 Larkfield Rd |
|---|---|
| City | East Northport |
| State | New York (NY) |
| Post Code | 117314205 |
| Phone Number | 6312664501 |
| Fax Number | 6312664502 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 013896-1 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 54388 | NY | VYTRA | |
| Q38811 | NY | EMPIRE BC BS | |
| AZ00899 | NY | MDNY | |
| 6699926 | NY | GHI | |
| A2517039 | NY | OXFORD | |
| 1914598 | NY | -- | |
| 218199P | NY | HIP |
Post Comment/ Review Below
What is the Steven C. Desousa, Pt, Pc's 1487786158?
The Steven C. Desousa, Pt, Pc's NPI (National Provider Identifier) Number is 1487786158. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Steven C. Desousa, Pt, Pc located?
The Steven C. Desousa, Pt, Pc is located at 554 Larkfield Rd, East Northport, NY 117314205.
What is the Steven C. Desousa, Pt, Pc's specialty and taxonomy code?
The Steven C. Desousa, Pt, Pc's specialty is Sports, and the corresponding taxonomy code is 2251S0007X.
On what date did the Centers for Medicare & Medicaid Services issue the 1487786158 to Steven C. Desousa, Pt, Pc?
The Steven C. Desousa, Pt, Pc received its 1487786158 assignment from the Centers for Medicare & Medicaid Services on 2007-03-09.
When was the Steven C. Desousa, Pt, Pc's information last updated?
The Steven C. Desousa, Pt, Pc's information was last updated on 2008-04-20.
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