MR. Cosmo Philip Baccarella, PT

NPI #1174661995 in Islip, New York

Provider Information

NPI Number: 1174661995
Entity Type: Individual
Name: MR. Cosmo Philip Baccarella, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 393 MOFFITT BLVD
City: Islip
State: New York
ZIP Code: 11751
Phone: (631) 581-0006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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