Provider Demographics
NPI:1619940251
Name:MACRI, WILLIAM S (BS PT)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:S
Last Name:MACRI
Suffix:
Gender:M
Credentials:BS PT
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Mailing Address - Street 1:1024 SHELDON AVENUE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-2115
Mailing Address - Country:US
Mailing Address - Phone:718-227-7254
Mailing Address - Fax:718-227-5025
Practice Address - Street 1:5765 AMBOY RD
Practice Address - Street 2:REAR ENTRANCE
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-3135
Practice Address - Country:US
Practice Address - Phone:718-227-5757
Practice Address - Fax:718-227-5025
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2014-11-07
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Provider Licenses
StateLicense IDTaxonomies
NY016717225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY133797POtherHIP PRIS
NY180325OtherELDERPLAN
NY2459552Medicaid
NY46301OtherORTHONET
NY6607052OtherGHI PPO
NYMW6717OtherATLANTIS
NY092205OtherGHI HMO
NYQB9352OtherEMPIRE BCBS
NY46301OtherORTHONET