Stacey Italiano, PT

NPI #1386217065 in Lake Grove, New York

Provider Information

NPI Number: 1386217065
Entity Type: Individual
Name: Stacey Italiano, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 21, 2021
Last Updated: Jul 21, 2021

Practice Location

Address: 1 GLEN WAY
City: Lake Grove
State: New York
ZIP Code: 11755-2203
Phone: (613) 521-5137

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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