Healthcare Provider Details

I. General information

NPI: 1184602658
Provider Name (Legal Business Name): MICHAEL ANTHONY CAMP DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4250 HEMPSTEAD TPKE STE.1
BETHPAGE NY
11714-5711
US

IV. Provider business mailing address

4 HARBY DR
HUNTINGTON NY
11743-5011
US

V. Phone/Fax

Practice location:
  • Phone: 516-579-7870
  • Fax: 516-579-7867
Mailing address:
  • Phone: 516-579-7870
  • Fax: 516-579-7867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number027801-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: