MEDICARE: MRS. KELLY JEAN SETTANNI PT

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	0240731	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568449502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KELLY JEAN SETTANNI PT

Provider Business Mailing Address
First Line	:	2566 JERUSALEM AVE
Second Line	:
City	:	NORTH BELLMORE
State	:	NY
Zip	:	11710-1832
Country	:	US
Telephone Number	:	516-785-1667
Fax Number	:	516-785-1668

Provider Business Practice Location Address
First Line	:	2566 JERUSALEM AVE
Second Line	:
City	:	NORTH BELLMORE
State	:	NY
Zip	:	11710-1832
Country	:	US
Telephone Number	:	516-785-1667
Fax Number	:	516-785-1668

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

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	02/23/2021

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