Provider Demographics
NPI:1881086387
Name:MICHAEL SANTO DPT PC
Entity type:Organization
Organization Name:MICHAEL SANTO DPT PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTO
Authorized Official - Suffix:
Authorized Official - Credentials:PT DPT
Authorized Official - Phone:516-680-9786
Mailing Address - Street 1:53 N PARK AVE
Mailing Address - Street 2:104A
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-4100
Mailing Address - Country:US
Mailing Address - Phone:516-660-4942
Mailing Address - Fax:516-544-4322
Practice Address - Street 1:53 N PARK AVE
Practice Address - Street 2:104A
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-4100
Practice Address - Country:US
Practice Address - Phone:516-660-4942
Practice Address - Fax:516-544-4322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-21
Last Update Date:2015-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033999261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy