Jennifer L Monastero, PT

Individual provider Active NPI Physical Therapist · E. Setauket, NY

NPI 1285980474 · NPPES record last updated Jul 25, 2012

Key facts

NPI
1285980474
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
014384-1 (NY)
Practice address
12 Technology Dr.
Unit 2
E. Setauket, NY 11733
Phone
(631) 689-2009
Fax
(631) 689-2113
NPI assigned
Jul 25, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
014384-1NYMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 014384-1 NY Yes

Addresses

Primary practice location

12 Technology Dr.
Unit 2
E. Setauket, NY 11733

Mailing address

28 Sheryl Ave
Smithtown, NY 11787
Phone (631) 360-3085

Other providers in E. Setauket, NY

All providers in E. Setauket, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.