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General NPI Number Information
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NPI Number | 1285033258
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Entity Type | Organization
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Legal Business Name | CINDI PRENTISS PT PC
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Dates
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Enumeration Date | 08/15/2014
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Last Update Date | 08/15/2014
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Provider Practice Location Address
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Address Line | 196 N BELLE MEAD RD SUITE 2 AND 3
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City | EAST SETAUKET
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State | NY
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Zip | 11733-3477
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Country | US
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Telephone | 631-941-3535
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Fax | 631-941-3599
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Provider Business Mailing Address
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Address Line | 196 N BELLE MEAD RD SUITE 2 AND 3
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City | EAST SETAUKET
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State | NY
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Zip | 11733-3477
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Country | US
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Telephone | 631-941-3535
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Fax | 631-941-3599
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Authorized Official
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Title or Position | OWNER
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Name | CINDI A PRENITSS
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Credential | PT PC
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Telephone | 631-941-3535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 62037116
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License Number State | NY
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