MEDICARE: FRANK PROCHILO 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
1	225100000X	Physical Therapist	040727	NY

General Provider Information

NPI Number	:	1396299905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK PROCHILO PT,DPT

Provider Business Mailing Address
First Line	:	1897 WANTAGH AVE
Second Line	:
City	:	WANTAGH
State	:	NY
Zip	:	11793-3930
Country	:	US
Telephone Number	:	516-490-1480
Fax Number	:	516-490-4009

Provider Business Practice Location Address
First Line	:	1897 WANTAGH AVE
Second Line	:
City	:	WANTAGH
State	:	NY
Zip	:	11793-3930
Country	:	US
Telephone Number	:	516-490-1480
Fax Number	:	516-490-4009

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2016
Last Update Date	:	12/19/2025

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Directions to “ FRANK PROCHILO PT,DPT” Practice Location

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