Provider Demographics
NPI:1295829323
Name:PRIORE, MICHAEL ANTHONY (PT MS)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ANTHONY
Last Name:PRIORE
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Gender:M
Credentials:PT MS
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Mailing Address - Street 1:10 RYE RIDGE PLAZA
Mailing Address - Street 2:PHYSICAL THERAPY GROUP OF WESTCHESTER PC SUITE 219
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573
Mailing Address - Country:US
Mailing Address - Phone:914-253-6457
Mailing Address - Fax:914-253-6458
Practice Address - Street 1:10 RYE RIDGE PLAZA
Practice Address - Street 2:PHYSICAL THERAPY GROUP OF WESTCHESTER PC SUITE 219
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573
Practice Address - Country:US
Practice Address - Phone:914-253-6457
Practice Address - Fax:914-253-6458
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2008-03-20
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Provider Licenses
StateLicense IDTaxonomies
NY0172691225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ27041Medicare PIN