Provider Demographics
NPI:1760631444
Name:LORENZO, THOMAS GENNARO (LPT)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:GENNARO
Last Name:LORENZO
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 FRANKLIN AVENUE
Mailing Address - Street 2:LL2
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530
Mailing Address - Country:US
Mailing Address - Phone:516-663-9099
Mailing Address - Fax:516-663-9092
Practice Address - Street 1:1300 FRANKLIN AVENUE
Practice Address - Street 2:LL2
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-1078
Practice Address - Country:US
Practice Address - Phone:516-663-9099
Practice Address - Fax:516-663-9092
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0261462251X0800X
NY026146-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic