IndividualActive
Michael Scicchitano, PT
NPI 1366962185 · Geriatric Physical Therapist · Port Jefferson Station, NY
Provider details
- NPI number
- 1366962185
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 019032 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3 Colgate Street
Port Jefferson Station, NY 11776
Phone: (631) 457-9158
Approximate (ZIP-level) locationGet directions
Mailing address
3 Colgate St
Port Jefferson Station, NY 11776-2803
Registry dates
- Enumerated
- 2017-06-22
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.