Provider Demographics
NPI:1447495429
Name:COVINO, FRANK A (MSPT)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:A
Last Name:COVINO
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3530 165TH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-1721
Mailing Address - Country:US
Mailing Address - Phone:917-699-7610
Mailing Address - Fax:718-321-1807
Practice Address - Street 1:3530 165TH ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-1721
Practice Address - Country:US
Practice Address - Phone:917-699-7610
Practice Address - Fax:718-321-1807
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY62-023780-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist