Provider Demographics
NPI:1285219410
Name:SENATORE, JOSEPH MATHEW (DPT)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:MATHEW
Last Name:SENATORE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:747 WANTAGH AVE
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-2133
Mailing Address - Country:US
Mailing Address - Phone:516-628-7700
Mailing Address - Fax:516-279-1373
Practice Address - Street 1:747 WANTAGH AVE
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-2133
Practice Address - Country:US
Practice Address - Phone:516-628-7700
Practice Address - Fax:516-279-1373
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046697225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist