Provider Demographics
NPI:1184840266
Name:ZEFFIRO, ANTHONY VALENTINO (PT)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:VALENTINO
Last Name:ZEFFIRO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BEVERLY CT
Mailing Address - Street 2:
Mailing Address - City:FARMINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11738-1400
Mailing Address - Country:US
Mailing Address - Phone:631-696-6981
Mailing Address - Fax:631-696-6981
Practice Address - Street 1:7 BEVERLY CT
Practice Address - Street 2:
Practice Address - City:FARMINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:11738-1400
Practice Address - Country:US
Practice Address - Phone:631-696-6981
Practice Address - Fax:631-696-6981
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009645225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP00366977OtherMEDICARE RAILRAOD
NYQ24S11Medicare PIN