Provider Demographics
NPI:1366529927
Name:ROSSI, GION FRANCO (P T)
Entity type:Individual
Prefix:
First Name:GION
Middle Name:FRANCO
Last Name:ROSSI
Suffix:
Gender:M
Credentials:P T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 MONMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-1332
Mailing Address - Country:US
Mailing Address - Phone:917-538-9651
Mailing Address - Fax:631-261-3879
Practice Address - Street 1:43 MONMOUTH DR
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-1332
Practice Address - Country:US
Practice Address - Phone:917-538-9651
Practice Address - Fax:631-261-3879
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026950225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist