Individual provider · NPI-1
John Abbate, PT,DPT
Physical Therapist · Bay Shore, NY
NPI number1588201701
StatusActive
Last updated in NPPESDec 9, 2020
Details
- NPI
- 1588201701
- Entity type
- Individual (NPI-1)
- Name
- John Abbate
- Credential
- PT,DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2019
- Certification date
- Dec 9, 2020
- Last updated
- Dec 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 022271 | NY | Yes |
Practice location
301 E Main StBay Shore, NY 11706-8408
Phone 631-968-3400
Mailing address
333 Edelweiss RdWest Islip, NY 11795-2805
Phone 631-678-1693
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