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Contact Information

MANTAS KORSAKAS, DPT
1149 OLD COUNTRY RD STE A2
RIVERHEAD, NY11901-2059
 Phone: 631-284-9258
 Fax: 631-284-9260
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MANTAS KORSAKAS · (Male)

NPI # 1386827343
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 12/13/2007
Last updated 11/11/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 029645-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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