MR. MICHAEL LOUIS SCICCHITANO SR. (NPI# 1366962185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366962185 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL LOUIS SCICCHITANO SR. |
| Credential | PT |
| Practice Address |
3 Colgate Street Port Jefferson Station NY 11776 |
| Mailing Address |
3 Colgate St Port Jefferson Station NY 11776-2803 |
| Practice Telephone | (631) 457-9158 |
| Mailing Telephone | 6314579158 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
019032 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962585414 | Michael A. Scicchitano | Emergency Medicine | 1600 Hospital Road, Shamokin Area Community Hospital, Coal Township, PA 17866 | 2006-10-20 |
| Street Address |
3 COLGATE STREET |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| 1134561194 | Debra Anne Reilly | Nurse Practitioner | 815 Hallock Avenue, Port Jefferson Station, NY 11776 | 2013-07-18 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425968 | Onward Physical Therapy, Pllc | Physical Therapist | 625 West Dryden Rd, Freeville, NY 13068-9746 | 2020-07-27 |
| 1487270765 | Narda Silipo | Physical Therapist | 40 Merrick Ave, East Meadow, NY 11554-1581 | 2020-06-22 |
| 1851931380 | Shirley John | Physical Therapist | 51 Highway Ave, Congers, NY 10920-2519 | 2020-01-13 |
| 1467096453 | Kathleen Freund | Physical Therapist | 1963 Lincoln Ct, Westbury, NY 11590-5924 | 2019-11-01 |
| 1487204038 | Monique Susanne Berg-spindelman | Physical Therapist | 4 Cedarwood Cir, Pittsford, NY 14534-3246 | 2019-09-16 |
| 1215586839 | Bishoy Maximous | Physical Therapist | 47 Brook Ave, Staten Island, NY 10306-4434 | 2019-09-06 |
| 1558915488 | David Michael Avery | Physical Therapist | 107 Laverack Ave, Lancaster, NY 14086-1844 | 2019-07-29 |
| 1659855534 | Eileen Galang | Physical Therapist | 347 Richard Ct, Pomona, NY 10970-2310 | 2018-09-18 |
| 1467935494 | Megan Passarelle | Physical Therapist | 29 Debragga Ave, East Moriches, NY 11940-1416 | 2018-09-14 |
| 1891275012 | Betty Ann M Dubacher | Physical Therapist | 43 Red Pond Rd, Petersburg, NY 12138-5916 | 2018-08-16 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.