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NPI Code Detail

MEDICARE: MICHAEL JOHN FRIAR PT,DPT

MEDICARE: MICHAEL JOHN FRIAR PT,DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist030749-1NY

General Provider Information

NPI Number : 1346492204
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL JOHN FRIAR PT,DPT
Provider Business Mailing Address
First Line : 389 FORT SALONGA RD
Second Line :
City : NORTHPORT
State : NY
Zip : 11768-3044
Country : US
Telephone Number : 631-261-0444
Fax Number : 631-261-3112
Provider Business Practice Location Address
First Line : 389 FORT SALONGA RD
Second Line :
City : NORTHPORT
State : NY
Zip : 11768-3044
Country : US
Telephone Number : 631-261-0444
Fax Number : 631-261-3112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2008
Last Update Date : 10/22/2008

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Directions to “ MICHAEL JOHN FRIAR PT,DPT” Practice Location

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