Provider Demographics
NPI:1841583283
Name:TANZI, ANTHONY (PT, DPT, CSCS)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:TANZI
Suffix:
Gender:M
Credentials:PT, DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2203 ROUTE 301
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-3434
Mailing Address - Country:US
Mailing Address - Phone:845-406-2081
Mailing Address - Fax:
Practice Address - Street 1:2203 ROUTE 301
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-3434
Practice Address - Country:US
Practice Address - Phone:845-406-2081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035424-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist