Provider Demographics
NPI:1124331566
Name:SHEPETOFSKY, DAVID ARI (PT , MA)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ARI
Last Name:SHEPETOFSKY
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Gender:M
Credentials:PT , MA
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Mailing Address - Street 1:291 ARDMORE AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-4349
Mailing Address - Country:US
Mailing Address - Phone:718-983-9868
Mailing Address - Fax:718-226-9955
Practice Address - Street 1:475 SEAVIEW AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-3436
Practice Address - Country:US
Practice Address - Phone:718-226-8663
Practice Address - Fax:718-226-9955
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
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Provider Licenses
StateLicense IDTaxonomies
NY0135192251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics