Stack, Dorothy

Stack, Dorothy is an individual health care provider with primary practice located at 737 Wantagh Ave , Wantagh NY 11179. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Stack, Dorothy can be contacted via phone (576) 796-8490.

Contact Information

Primary practice address
737 Wantagh Ave Wantagh NY 11179
Phone: (576) 796-8490
Fax: (576) 796-8771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0043371 New York

Profile Details

NPI number 1679647572
LBN Legal business name Stack, Dorothy
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1679647572 NPPES
New York Other 47197P HIP
New York Other 10111850 HIP
New York Other 6600490 HIP

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