Healthcare Provider Details

I. General information

NPI: 1487932828
Provider Name (Legal Business Name): DANA MARIE ANASTASIA DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2011
Last Update Date: 09/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 HEMPSTEAD TPKE
FRANKLIN SQUARE NY
11010-4339
US

IV. Provider business mailing address

820 HEMPSTEAD TPKE
FRANKLIN SQUARE NY
11010-4339
US

V. Phone/Fax

Practice location:
  • Phone: 516-358-8911
  • Fax: 516-358-8960
Mailing address:
  • Phone: 516-358-8911
  • Fax: 516-358-8960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number033922-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: