Basic Information
| Provider Information | |||||||||
| NPI: | 1992778112 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WESTMAN | ||||||||
| FirstName: | DAVID | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1160 MONTAUK HIGHWAY | ||||||||
| Address2: | |||||||||
| City: | COPIAGUE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11726 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6318424606 | ||||||||
| FaxNumber: | 6318420803 | ||||||||
| Practice Location | |||||||||
| Address1: | 1160 MONTAUK HIGHWAY | ||||||||
| Address2: | |||||||||
| City: | COPIAGUE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11726 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6318424606 | ||||||||
| FaxNumber: | 6318420803 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/08/2006 | ||||||||
| LastUpdateDate: | 12/03/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 0219891 | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.