Provider Demographics
NPI:1356678965
Name:SAUNDERS, MATTHEW VINCENT (PT)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:VINCENT
Last Name:SAUNDERS
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 1:25 SCENIC DR APT E
Mailing Address - Street 2:
Mailing Address - City:CROTON ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10520-1831
Mailing Address - Country:US
Mailing Address - Phone:347-277-9531
Mailing Address - Fax:
Practice Address - Street 1:1998 COMMERCE ST # 1002
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4412
Practice Address - Country:US
Practice Address - Phone:347-277-9531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-03
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY62 029884225100000X
NJ40QA01501500225100000X
PAPT020227225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist