Healthcare Provider Details

I. General information

NPI: 1841289881
Provider Name (Legal Business Name): CATHERINE NEMAZI-HILTON MA,PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE NEMAZI PT

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 07/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

188 W MONTAUK HWY SUITE E4
HAMPTON BAYS NY
11946-2363
US

IV. Provider business mailing address

188 W MONTAUK HWY SUITE E4
HAMPTON BAYS NY
11946-2363
US

V. Phone/Fax

Practice location:
  • Phone: 631-728-6377
  • Fax: 631-728-6922
Mailing address:
  • Phone: 631-728-6377
  • Fax: 631-728-6922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0106701
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: