Basic Information
Provider Information
NPI: 1417554817
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOTINO
FirstName: FRANCESCO
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PT, DPT
OtherOrganizationName:  
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Mailing Information
Address1: 900 ROUTE 9 N STE 410
Address2:  
City: WOODBRIDGE
State: NJ
PostalCode: 070951003
CountryCode: US
TelephoneNumber: 2018017141
FaxNumber: 7322185322
Practice Location
Address1: 33 RICHMOND HILL RD
Address2:  
City: STATEN ISLAND
State: NY
PostalCode: 103145950
CountryCode: US
TelephoneNumber: 7189826340
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/08/2020
LastUpdateDate: 10/08/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/08/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X046436NYY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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