MICHAEL VINCENT PROCACCINI

STONY BROOK, NY
NPI1740222959
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  020541-1)
Enumeration Date2006-06-12
Last Update Date2008-02-24
Business Address
Mr. MICHAEL VINCENT PROCACCINI P.T.
55 HOPEWELL DR
STONY BROOK, NY 11790-2340
Phone number: 631-258-9538
Mailing Address
Mr. MICHAEL VINCENT PROCACCINI P.T.
55 HOPEWELL DR
STONY BROOK, NY 11790-2340
Phone number: 631-258-9538