Provider Demographics
NPI:1770973885
Name:NAGORSKI, DANIEL (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:NAGORSKI
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 BROADWAY
Mailing Address - Street 2:STE 1106
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-7127
Mailing Address - Country:US
Mailing Address - Phone:212-475-8104
Mailing Address - Fax:212-475-4443
Practice Address - Street 1:97 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-4107
Practice Address - Country:US
Practice Address - Phone:516-474-1986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-27
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037087-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist