Provider Demographics
NPI:1033283973
Name:AUGERI, RICHARD SALVATORE (PT,DPT)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:SALVATORE
Last Name:AUGERI
Suffix:
Gender:M
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 GREENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:N MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-2228
Mailing Address - Country:US
Mailing Address - Phone:516-848-9703
Mailing Address - Fax:516-520-8614
Practice Address - Street 1:117 GREENWOOD DR
Practice Address - Street 2:
Practice Address - City:N MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-2228
Practice Address - Country:US
Practice Address - Phone:516-848-9703
Practice Address - Fax:516-520-8614
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013027225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist