IndividualActive
Domenic D'Achille, CTRS
NPI 1770599565 · Recreation Therapist · Northport, NY
Provider details
- NPI number
- 1770599565
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CTRS
- Sex
- Male
- Sole proprietor
- No
- License
- 13264 (NY)
Practice location
79 Middleville Rd
Northport, NY 11768
Phone: (631) 261-4400
Fax: (631) 266-6099
Mailing address
623 N Chicot Ave
West Islip, NY 11795-3309
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.