Healthcare Provider Details

I. General information

NPI: 1568453850
Provider Name (Legal Business Name): MICHAEL RICHARD SETTANNI PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2005
Last Update Date: 07/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2566 JERUSALEM AVE
N BELLMORE NY
11710-1832
US

IV. Provider business mailing address

2566 JERUSALEM AVE
N BELLMORE NY
11710-1832
US

V. Phone/Fax

Practice location:
  • Phone: 516-785-1667
  • Fax: 516-785-1668
Mailing address:
  • Phone: 516-785-1667
  • Fax: 516-785-1668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0217571
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: