Healthcare Provider Details

I. General information

NPI: 1679169122
Provider Name (Legal Business Name): ERIN STROLLO PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2020
Last Update Date: 12/18/2020
Certification Date: 12/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 WHITE PLAINS RD
SCARSDALE NY
10583-5000
US

IV. Provider business mailing address

576 BROADHOLLOW RD
MELVILLE NY
11747-5002
US

V. Phone/Fax

Practice location:
  • Phone: 914-771-6200
  • Fax: 914-771-6202
Mailing address:
  • Phone: 631-359-5859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number046374
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: