Provider Demographics
NPI:1295001006
Name:FIGUEROA, PETER P (MSPT)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:P
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1769 HANNINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-2813
Mailing Address - Country:US
Mailing Address - Phone:516-987-7182
Mailing Address - Fax:
Practice Address - Street 1:1769 HANNINGTON AVE
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-2813
Practice Address - Country:US
Practice Address - Phone:516-987-7182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-26
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018582225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist