Provider Demographics
NPI:1316119183
Name:HITTI, ANTOINE (DPT)
Entity type:Individual
Prefix:
First Name:ANTOINE
Middle Name:
Last Name:HITTI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3636 33RD ST
Mailing Address - Street 2:SUITE 403
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-2329
Mailing Address - Country:US
Mailing Address - Phone:718-707-6970
Mailing Address - Fax:718-732-2864
Practice Address - Street 1:1015 MADISON AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0261
Practice Address - Country:US
Practice Address - Phone:212-439-9303
Practice Address - Fax:212-744-4481
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY30082225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist