Mauro, Timothy

Mauro, Timothy is an individual health care provider with primary practice located at 645 Stewart Ave , Garden City NY 11530-4709. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mauro, Timothy can be contacted via phone (516) 794-3278.

Contact Information

Primary practice address
645 Stewart Ave Garden City NY 11530-4709
Phone: (516) 794-3278
Fax: (516) 794-7578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 20883 New York

Profile Details

NPI number 1538115381
LBN Legal business name Mauro, Timothy
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Aug 5th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538115381 NPPES
New York Other QA229Q4FH1 MEDICARE PTAN

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