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General NPI Number Information
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NPI Number | 1689951972
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Entity Type | Individual
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Provider Name | HAROLD M MONIZ PT
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Gender | Male
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Dates
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Enumeration Date | 11/15/2011
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 260 MIDDLE COUNTRY RD BUILDING 3, SUITE 9 -A
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City | SELDEN
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State | NY
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Zip | 11784-2568
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Country | US
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Telephone | 201-744-4309
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Fax |
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Provider Business Mailing Address
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Address Line | 260 MIDDLE COUNTRY RD BUILDING 3, SUITE 9 -A
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City | SELDEN
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State | NY
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Zip | 11784-2568
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Country | US
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Telephone | 201-744-4309
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 034240-1
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License Number State | NY
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