MEDICARE: MR. MICHAEL RICHARD 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	0217571	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
2	QT1121	OTHER	NY	BC/BS

General Provider Information

NPI Number	:	1568453850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL RICHARD SETTANNI PT

Provider Business Mailing Address
First Line	:	2566 JERUSALEM AVE
Second Line	:
City	:	N 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	:	N 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	:	11/04/2005
Last Update Date	:	07/17/2008

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