MEDICARE: ASHLEY HOPE CATIZONE 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	208100000X	Physical Medicine & Rehabilitation Physician	62040945	NY

General Provider Information

NPI Number	:	1730623075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY HOPE CATIZONE DPT

Provider Business Mailing Address
First Line	:	18 HAMILTON PL
Second Line	:
City	:	LAKE GROVE
State	:	NY
Zip	:	11755-1915
Country	:	US
Telephone Number	:	631-780-5550
Fax Number	:	631-285-2124

Provider Business Practice Location Address
First Line	:	1636 MONTAUK HWY
Second Line	:
City	:	MASTIC
State	:	NY
Zip	:	11950-3016
Country	:	US
Telephone Number	:	631-399-0007
Fax Number	:

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

Provider Enumeration Date	:	12/06/2016
Last Update Date	:	02/16/2024

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