Provider Demographics
NPI:1952578908
Name:GARONE, LORI (PT HPCS)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:GARONE
Suffix:
Gender:F
Credentials:PT HPCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 WHEELER RD STE 106
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-4300
Mailing Address - Country:US
Mailing Address - Phone:631-479-3393
Mailing Address - Fax:888-381-4298
Practice Address - Street 1:300 WHEELER RD SUITE 106
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788
Practice Address - Country:US
Practice Address - Phone:631-479-3393
Practice Address - Fax:888-381-4298
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-09
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011643-1225100000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist