Provider Demographics
NPI:1487932828
Name:ANASTASIA, DANA MARIE (DPT)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:MARIE
Last Name:ANASTASIA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 HEMPSTEAD TPKE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-4339
Mailing Address - Country:US
Mailing Address - Phone:516-358-8911
Mailing Address - Fax:516-358-8960
Practice Address - Street 1:820 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010-4339
Practice Address - Country:US
Practice Address - Phone:516-358-8911
Practice Address - Fax:516-358-8960
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-03
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033922-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist