Provider Demographics
NPI:1871984344
Name:LIGUORI, BRITTANY A (DPT)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:A
Last Name:LIGUORI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:A
Other - Last Name:CANNIZZARO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 NEIL CT
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-5815
Mailing Address - Country:US
Mailing Address - Phone:516-766-0505
Mailing Address - Fax:516-766-0680
Practice Address - Street 1:15 NEIL CT
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-5815
Practice Address - Country:US
Practice Address - Phone:516-766-0505
Practice Address - Fax:516-766-0680
Is Sole Proprietor?:No
Enumeration Date:2015-02-05
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038479225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist