MEDICARE: SCOTT FRANCIS STANKO DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	033849	NY
2	225100000X	Physical Therapist	PT021657	PA

General Provider Information

NPI Number	:	1396028148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT FRANCIS STANKO DPT

Provider Business Mailing Address
First Line	:	82 TRAILS END
Second Line	:
City	:	GRAND ISLAND
State	:	NY
Zip	:	14072-2191
Country	:	US
Telephone Number	:	716-604-4355
Fax Number	:

Provider Business Practice Location Address
First Line	:	82 TRAILS END
Second Line	:
City	:	GRAND ISLAND
State	:	NY
Zip	:	14072-2191
Country	:	US
Telephone Number	:	716-604-4355
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2011
Last Update Date	:	09/27/2011

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Directions to “ SCOTT FRANCIS STANKO DPT” Practice Location

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