Provider Demographics
NPI:1831443274
Name:MUSCATELLA, ANTHONY J (DPT)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:J
Last Name:MUSCATELLA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 SQUADRON BLVD
Mailing Address - Street 2:STE 340
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-5261
Mailing Address - Country:US
Mailing Address - Phone:845-536-2239
Mailing Address - Fax:
Practice Address - Street 1:20 SQUADRON BLVD
Practice Address - Street 2:STE 340
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-5261
Practice Address - Country:US
Practice Address - Phone:845-356-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-07
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035746225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist