Provider Demographics
NPI:1396028148
Name:STANKO, SCOTT FRANCIS (DPT)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:FRANCIS
Last Name:STANKO
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 1:82 TRAILS END
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14072-2191
Mailing Address - Country:US
Mailing Address - Phone:716-604-4355
Mailing Address - Fax:
Practice Address - Street 1:82 TRAILS END
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NY
Practice Address - Zip Code:14072-2191
Practice Address - Country:US
Practice Address - Phone:716-604-4355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033849225100000X
PAPT021657225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist