Provider Demographics
NPI:1639650104
Name:DELEO, FRANK VINCENT (DPT)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:VINCENT
Last Name:DELEO
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 1:258 DORCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5613
Mailing Address - Country:US
Mailing Address - Phone:516-639-9234
Mailing Address - Fax:
Practice Address - Street 1:1325 FRANKLIN AVE
Practice Address - Street 2:LL STE 105
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-1688
Practice Address - Country:US
Practice Address - Phone:516-280-8811
Practice Address - Fax:516-280-8809
Is Sole Proprietor?:No
Enumeration Date:2018-08-23
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043233-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist