Provider Demographics
NPI:1699032482
Name:ZAINO, ANTHONY J (MSPT)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:J
Last Name:ZAINO
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 SMITH ST
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-2645
Mailing Address - Country:US
Mailing Address - Phone:516-662-0874
Mailing Address - Fax:516-667-0604
Practice Address - Street 1:178 SMITH ST
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-2645
Practice Address - Country:US
Practice Address - Phone:516-662-0874
Practice Address - Fax:516-667-0604
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029522225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist