Provider Demographics
NPI:1164677514
Name:UZICH, DENISE (PT)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:
Last Name:UZICH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162 SOUTHARD AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-2616
Mailing Address - Country:US
Mailing Address - Phone:516-620-6719
Mailing Address - Fax:516-941-0793
Practice Address - Street 1:162 SOUTHARD AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-2616
Practice Address - Country:US
Practice Address - Phone:516-620-6719
Practice Address - Fax:516-941-0793
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-27
Last Update Date:2008-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010515225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist