MEDICARE: DEANNA MARIE FIORE PT,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	043162	NY

General Provider Information

NPI Number	:	1508346180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEANNA MARIE FIORE PT,DPT

Provider Business Mailing Address
First Line	:	2579 OCEAN AVE FL 3
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4552
Country	:	US
Telephone Number	:	646-780-0926
Fax Number	:	646-502-5507

Provider Business Practice Location Address
First Line	:	2579 OCEAN AVE FL 3
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4552
Country	:	US
Telephone Number	:	646-780-0926
Fax Number	:	646-502-5507

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

Provider Enumeration Date	:	08/14/2018
Last Update Date	:	05/19/2026

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