Basic Information
| Provider Information | |||||||||
| NPI: | 1285112417 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZAINO | ||||||||
| FirstName: | MATTHEW | ||||||||
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| NamePrefix: | MR. | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 COMPUTER DR W | ||||||||
| Address2: | STE 200 | ||||||||
| City: | ALBANY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 122051622 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5184892524 | ||||||||
| FaxNumber: | 5184893167 | ||||||||
| Practice Location | |||||||||
| Address1: | 2 COMPUTER DR W | ||||||||
| Address2: | STE 200 | ||||||||
| City: | ALBANY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 122051622 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5184892524 | ||||||||
| FaxNumber: | 5184893167 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2018 | ||||||||
| LastUpdateDate: | 06/02/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 043855 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.