MR. Vincent M. Vastola, PHYSICAL THERAPIST A
NPI #1740533116 in Islip Terrace, New York
Provider Information
- NPI Number
- 1740533116
- Entity Type
- Individual
- Name
- MR. Vincent M. Vastola, PHYSICAL THERAPIST A
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PHYSICAL THERAPIST A
- Enumeration Date
- Oct 22, 2012
- Last Updated
- Oct 22, 2012
Practice Location
- Address
- 367 CEDARHURST STREET
- City
- Islip Terrace
- State
- New York
- ZIP Code
- 11752-1403
- Phone
- (516) 706-0682
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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