Provider Demographics
NPI:1396336491
Name:ALTE VIEW PHYSICAL THERAPY, ACUPUNCTURE, AND NUTRITION, PLLC
Entity type:Organization
Organization Name:ALTE VIEW PHYSICAL THERAPY, ACUPUNCTURE, AND NUTRITION, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAESAR
Authorized Official - Middle Name:
Authorized Official - Last Name:CANTONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-359-7391
Mailing Address - Street 1:133 N HERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-4932
Mailing Address - Country:US
Mailing Address - Phone:516-359-7391
Mailing Address - Fax:888-714-1889
Practice Address - Street 1:505 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5115
Practice Address - Country:US
Practice Address - Phone:516-359-7391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty