Provider Demographics
NPI:1386669414
Name:DIMATTEO, SALVATORE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:SALVATORE
Middle Name:
Last Name:DIMATTEO
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2339 HEMPSTEAD TPKE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-2027
Mailing Address - Country:US
Mailing Address - Phone:516-520-3053
Mailing Address - Fax:516-520-5715
Practice Address - Street 1:2339 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-2027
Practice Address - Country:US
Practice Address - Phone:516-520-3053
Practice Address - Fax:516-520-5715
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013894-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic