Southbay Back to Work

Primary specialty

SpecialistTaxonomy code 174400000X

License

009181 Issued in NY

Legal business name

SOUTHBAY BACK TO WORK

Practice address

1160 Montauk Hwy
Copiague, NY 11726-4904

Phone

(631) 842-4606

Fax

(631) 842-0803

NPI assigned

Dec 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maria Salonia-Bellucci

Title

Director

Phone

(631) 842-4606

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609930650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 MONTAUK HWY",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117264904",
            "telephone_number": "631-842-4606",
            "fax_number": "631-842-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 MONTAUK HWY",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117264904",
            "telephone_number": "631-842-4606",
            "fax_number": "631-842-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHBAY BACK TO WORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALONIA-BELLUCCI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-842-4606"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "009181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasios Skoutakis
• Greer Julien Slovin, LMSW
• Alexa Lani Smith, LMSW
• James Clifford Smith, M.S.ED.
• South Bay Sports and Physical Therapy, PC.
• Jane Speed, LMSW
• Hyacinth Icilda Spence, LMSW
• Piotr Sroka, P.T.
• Lucy St. Hilaire, LCSW
• Francisca St.Robert, LPN

• Specialist in Copiague, NY
• Providers in Copiague, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.