Provider Demographics
NPI:1134300551
Name:BURBIGE, JOSEPH T (PT)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:T
Last Name:BURBIGE
Suffix:
Gender:
Credentials:PT
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3385 VETERANS MEMORIAL HWY STE I
Mailing Address - Street 2:
Mailing Address - City:RONKONKOMA
Mailing Address - State:NY
Mailing Address - Zip Code:11779-7660
Mailing Address - Country:US
Mailing Address - Phone:631-665-4560
Mailing Address - Fax:631-665-7213
Practice Address - Street 1:131 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-8315
Practice Address - Country:US
Practice Address - Phone:631-665-4560
Practice Address - Fax:631-665-7213
Is Sole Proprietor?:No
Enumeration Date:2007-11-15
Last Update Date:2025-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY029841-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist