Provider Demographics
NPI:1508936790
Name:CAMPERLENGO, MICHAEL V (MS, PT)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:V
Last Name:CAMPERLENGO
Suffix:
Gender:M
Credentials:MS, PT
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Mailing Address - Street 1:2142 UTOPIA PKWY
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-4142
Mailing Address - Country:US
Mailing Address - Phone:718-819-6805
Mailing Address - Fax:347-841-9109
Practice Address - Street 1:342 FIFTH AVE
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-1204
Practice Address - Country:US
Practice Address - Phone:914-738-1748
Practice Address - Fax:914-738-1749
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2016-01-04
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Provider Licenses
StateLicense IDTaxonomies
NY0204641225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ96101Medicare PIN