Provider Demographics
NPI:1023262193
Name:MAUREEN CAMIZZI KIRSCHNER PT PC
Entity type:Organization
Organization Name:MAUREEN CAMIZZI KIRSCHNER PT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CAMIZZI KIRSCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:516-661-4304
Mailing Address - Street 1:623 CONCORD AVE
Mailing Address - Street 2:
Mailing Address - City:WILLISTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11596-1532
Mailing Address - Country:US
Mailing Address - Phone:516-873-8870
Mailing Address - Fax:516-873-8870
Practice Address - Street 1:623 CONCORD AVE
Practice Address - Street 2:
Practice Address - City:WILLISTON PARK
Practice Address - State:NY
Practice Address - Zip Code:11596-1532
Practice Address - Country:US
Practice Address - Phone:516-873-8870
Practice Address - Fax:516-873-8870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-15
Last Update Date:2008-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency