Provider Demographics
NPI:1245420215
Name:PANZIK, STEVEN HILL (MSPT, CSCS, ACFP)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:HILL
Last Name:PANZIK
Suffix:
Gender:M
Credentials:MSPT, CSCS, ACFP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 E SHORE RD
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-2934
Mailing Address - Country:US
Mailing Address - Phone:516-365-2800
Mailing Address - Fax:
Practice Address - Street 1:21 E SHORE RD
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-2934
Practice Address - Country:US
Practice Address - Phone:516-365-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYQN6731225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQN6731OtherLICENSE