Provider Demographics
NPI:1023224524
Name:ZUCCARO, TONI ANN (PT)
Entity type:Individual
Prefix:MS
First Name:TONI
Middle Name:ANN
Last Name:ZUCCARO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7228 62ND ST
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385-6126
Mailing Address - Country:US
Mailing Address - Phone:718-456-6289
Mailing Address - Fax:
Practice Address - Street 1:4262 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-6239
Practice Address - Country:US
Practice Address - Phone:718-966-9466
Practice Address - Fax:718-966-9464
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010080-12251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology