Individual provider · NPI-1

Nicholas Anthony Artusa

Physical Therapist · Bay Shore, NY

NPI number1063343010
StatusActive
Last updated in NPPESMay 28, 2026

Details

NPI
1063343010
Entity type
Individual (NPI-1)
Name
Nicholas Anthony Artusa
Sex
Male
Sole proprietor
Yes
Enumeration date
May 28, 2026
Certification date
May 27, 2026
Last updated
May 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist–NYYes

Practice location

569 E Main St
Bay Shore, NY 11706-8505

Phone 631-517-3822

Mailing address

30 W Lido Promenade
Lindenhurst, NY 11757-6610

Phone 631-620-4700

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