Courtney Civitano, MS, ATC

NPI 1801132196 · on the registry since 2012 · sole proprietor

Practice

Address: 1 University Plz
Wrac
Brooklyn, NY 11201
Phone: (718) 780-4158
Fax: (718) 246-6392
Organisation at this address: Long Island University
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 48

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-12-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York