Provider Demographics
NPI:1730298332
Name:ACCARDI, ROSARIO ANTHONY (DPT)
Entity Type:Individual
Prefix:MR
First Name:ROSARIO
Middle Name:ANTHONY
Last Name:ACCARDI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5 TUPELO LN
Mailing Address - Street 2:
Mailing Address - City:EAST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11730-2411
Mailing Address - Country:US
Mailing Address - Phone:866-605-5634
Mailing Address - Fax:866-605-5654
Practice Address - Street 1:5 TUPELO LN
Practice Address - Street 2:
Practice Address - City:EAST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11730-2411
Practice Address - Country:US
Practice Address - Phone:866-605-5634
Practice Address - Fax:866-605-5654
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026869225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA300000640Medicare PIN