Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RUSSELL TAVERAS, PT
ActiveMR. RUSSELL TAVERAS, PT is a Physical Therapy Assistant healthcare provider located in PATCHOGUE, New York. NPI 1669587465 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PATCHOGUE, NY
Registration Details
- NPI Number
- 1669587465
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2006 (19.94411810017 yrs)
- Last Updated
- Mar 7, 2012
- License
-
0270991 (NY)
Practice Information
- Address
-
79 E MAIN STPATCHOGUE, NY, 117723101Browse NY providers · Browse ZIP 11772
- Phone
- 6312890088
- Fax
- 6312896177
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PATCHOGUE, NY
| Name | Credential | NPI |
|---|---|---|
| MICHELLE DOXSEE | — | 1265461560 |
| DANIEL MICHAEL MONDIELLO | DPT | 1760407340 |
| BLAKE HOLLAND | DPT | 1922023514 |
| WILLIAM KELTZ | DPT | 1649295213 |
| JOHN LOWE WILSON | PT | 1063527034 |
| STEPHAN E UNGAR | PT | 1306955547 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.