Provider Demographics
NPI:1447499850
Name:ASANTE, EMMANUEL (MSPT)
Entity type:Individual
Prefix:
First Name:EMMANUEL
Middle Name:
Last Name:ASANTE
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 1:1376 MIDLAND AVE APT 411
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-6892
Mailing Address - Country:US
Mailing Address - Phone:646-321-8229
Mailing Address - Fax:
Practice Address - Street 1:1376 MIDLAND AVE APT 411
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-6892
Practice Address - Country:US
Practice Address - Phone:646-321-8229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0277782251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics