Tucker, Keith William

Tucker, Keith William is an individual health care provider with primary practice located at 35 Carman Rd , Dix Hills NY 11746-5651. 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. Tucker, Keith William can be contacted via phone (631) 549-5580.

Contact Information

Primary practice address
35 Carman Rd Dix Hills NY 11746-5651
Phone: (631) 549-5580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 007319-1 New York

Profile Details

NPI number 1255608949
LBN Legal business name Tucker, Keith William
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2011
Last updated Nov 23rd, 2011 - about 13 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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