Basic Information
Provider Information
NPI: 1871566919
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SARANITI
FirstName: ANTHONY
MiddleName: J
NamePrefix: MR.
NameSuffix:  
Credential: P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 68 MANOR POND LN
Address2:  
City: IRVINGTON
State: NY
PostalCode: 105332425
CountryCode: US
TelephoneNumber: 9145915674
FaxNumber: 9145915236
Practice Location
Address1: 244 E 84TH ST
Address2: 3 FLOOR
City: NEW YORK
State: NY
PostalCode: 100282902
CountryCode: US
TelephoneNumber: 2125700209
FaxNumber: 2125700197
Other Information
ProviderEnumerationDate: 02/09/2006
LastUpdateDate: 11/06/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X005564NYY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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