JOSEPH ANTHONY CANNISI JR.

RAYMOND N CECORA PT PC

Dr JOSEPH ANTHONY CANNISI JR. is a male medical professional, specializing in Physical Therapy. He graduated in 2015 from State University Of New York At Stony Brook, School Of Medicine.

Contact

RAYMOND N CECORA PT PC

5500 MERRICK RD
MASSAPEQUA
NY
117586231

Tel: 5167983789

JOSEPH ANTHONY CANNISI JR. Information

Npi 1376928523
Pac Id 1153686373
Professional Enrollment Id I20180517001137
Last Name CANNISI
First Name JOSEPH
Middle Name ANTHONY
Suffix JR.
Gender M
Credential
Medical School Name STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year 2015
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name RAYMOND N CECORA PT PC
Group Practice Pac Id 6002889946
Number Of Group Practice Members 6
Line 1 Street Address 5500 MERRICK RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MASSAPEQUA
State NY
Zip Code 117586231
Phone Number 5167983789
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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