MEDICARE: FRANK NANI PHYSICAL THERAPY, P.C.

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	174400000X	Specialist	011225	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	GHI	OTHER	NY	6601305
2	CIGNA	OTHER	NY	360085
3	RS304	OTHER	NY	OXFORD
4	1077939	OTHER	NY	UNITED HEALTH
5	Q82581	OTHER	NY	EMPIRE
6	42082P	OTHER	NM	HIP

General Provider Information

NPI Number	:	1558443291
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANK NANI PHYSICAL THERAPY, P.C.

Provider Business Mailing Address
First Line	:	345 N MAIN ST
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-4305
Country	:	US
Telephone Number	:	845-638-4040
Fax Number	:	845-638-4184

Provider Business Practice Location Address
First Line	:	345 N MAIN ST
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-4305
Country	:	US
Telephone Number	:	845-638-4040
Fax Number	:	845-638-4184

Authorized Official
Title or Position	:	OWNER/ P.T.
Name	:	MR. FRANK G. NANI
Credential	:	PHYSICAL THERIPIST
Telephone Number	:	845-638-4040

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	08/22/2020

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Directions to “FRANK NANI PHYSICAL THERAPY, P.C. ” Practice Location

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