MR. COSMO BACCARELLA, PT
Physical Therapist
Active
Individual
NPI: 1174661995
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 0240191 (NY) |
Frequently Asked Questions
NPI 1174661995 is the National Provider Identifier for MR. COSMO BACCARELLA, PT, a Physical Therapist provider located in Islip, NY. This NPI was enumerated on February 2, 2007.
MR. COSMO BACCARELLA, PT practices at 393 MOFFITT BLVD, Islip, NY 11751.
Quick Facts
- NPI
- 1174661995
- Type
- Individual
- Enumerated
- Feb 2, 2007
- Last Updated
- Jul 8, 2007
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