Domenic F. D'Achille, CTRS
Recreation Therapist in Northport, NY. Individual provider (NPI-1).
NPI number1770599565
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1770599565
- Entity type
- Individual (NPI-1)
- Name
- Mr. Domenic F. D'Achille
- Credential
- CTRS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225800000X | Recreation Therapist | 13264 | NY | Yes |
Practice location
79 Middleville RdNorthport, NY 11768
Phone 631-261-4400 · Fax 631-266-6099
Mailing address
623 N Chicot AveWest Islip, NY 11795-3309
Phone 631-261-4400 · Fax 631-266-6099
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All 11 Recreation Therapist providers in Northport · All 993 providers in Northport
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