Healthcare Provider Details

I. General information

NPI: 1821766734
Provider Name (Legal Business Name): BRIANNA ATTANASIO PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2021
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2955 VETERANS RD W
STATEN ISLAND NY
10309-2515
US

IV. Provider business mailing address

1311 MAMARONECK AVE STE 140
WHITE PLAINS NY
10605-5224
US

V. Phone/Fax

Practice location:
  • Phone: 718-477-1911
  • Fax:
Mailing address:
  • Phone: 888-830-4125
  • Fax: 631-580-5222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02027000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: