Thomas Andrew Marchese, DPT

Individual provider Active NPI Physical Therapist · Brightwaters, NY

NPI 1477690451 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1477690451
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
015551 (NY)
Practice address
78 Wohseepee Dr
Brightwaters, NY 11718-1814
Phone
(631) 968-8039
NPI assigned
Jan 31, 2007
Sex
Male
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 015551 NY Yes

Addresses

Primary practice location

78 Wohseepee Dr
Brightwaters, NY 11718-1814

Mailing address

78 Wohseepee Dr
Brightwaters, NY 11718-1814
Phone (631) 968-8039

Other providers in Brightwaters, NY

All providers in Brightwaters, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.