MEDICARE: MARCO FRANK MULDER P.T.

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	14960	NY

General Provider Information

NPI Number	:	1578566022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCO FRANK MULDER P.T.

Provider Business Mailing Address
First Line	:	97 RIVER HEIGHTS DR
Second Line	:
City	:	SMITHTOWN
State	:	NY
Zip	:	11787-1754
Country	:	US
Telephone Number	:	631-258-0863
Fax Number	:

Provider Business Practice Location Address
First Line	:	97 RIVER HEIGHTS DR
Second Line	:
City	:	SMITHTOWN
State	:	NY
Zip	:	11787-1754
Country	:	US
Telephone Number	:	631-258-0863
Fax Number	:

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

Provider Enumeration Date	:	05/28/2005
Last Update Date	:	10/12/2007

Similar Medicare Providers

1487694907 — JEANNE G. HALPERN-LEWIS, LCSW. PC
Practice Location Address:

79 RIVER HEIGHTS DR
SMITHTOWN, NY
11787-1754

Practice Phone: 631-265-4920
Practice Fax: 631-265-4920

1669544664 — JEANNE G. HALPERN-LEWIS LCSW
Practice Location Address:

79 RIVER HEIGHTS DR
SMITHTOWN, NY
11787-1754

Practice Phone: 631-265-4920
Practice Fax: 631-265-4920

1528404019 — MRS. CAROL LYNN CHIRCO
Practice Location Address:

103 RIVER HEIGHTS DR
SMITHTOWN, NY
11787-1754

Practice Phone: 631-724-1708
Practice Fax:

1235544784 — STEFANI COULTON PSY.D
Practice Location Address:

95 RIVER HEIGHTS DR
SMITHTOWN, NY
11787-1754

Practice Phone: 631-406-9424
Practice Fax:

1881544526 — KRISTOFER REGAN PA-C, R.T.(T)
Practice Location Address:

46 LONE OAK PATH
SMITHTOWN, NY
11787-4290

Practice Phone: 631-356-4748
Practice Fax:

1891856738 — DR. DONALD JOHN WALLACE DC
Practice Location Address:

20 GILBERT AVE STE 201
SMITHTOWN, NY
11787-5312

Practice Phone: 631-360-0170
Practice Fax: 631-724-1991

Directions to “ MARCO FRANK MULDER P.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.