Provider Demographics
NPI:1700044906
Name:NNA, TOBIAS ANAYOCHUKWU (PT, DPT, MHS)
Entity Type:Individual
Prefix:DR
First Name:TOBIAS
Middle Name:ANAYOCHUKWU
Last Name:NNA
Suffix:
Gender:M
Credentials:PT, DPT, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 EMILY AVE
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-4219
Mailing Address - Country:US
Mailing Address - Phone:516-328-2294
Mailing Address - Fax:
Practice Address - Street 1:41 EMILY AVE
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-4219
Practice Address - Country:US
Practice Address - Phone:516-328-2294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-26
Last Update Date:2008-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019237-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist