Provider Demographics
NPI:1629208269
Name:FOCARILE, THOMAS SEBASTIAN (MSPT)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:SEBASTIAN
Last Name:FOCARILE
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 1:100 BEVERLY RD
Mailing Address - Street 2:
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-1635
Mailing Address - Country:US
Mailing Address - Phone:631-492-7976
Mailing Address - Fax:
Practice Address - Street 1:100 BEVERLY RD
Practice Address - Street 2:
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-1635
Practice Address - Country:US
Practice Address - Phone:631-492-7976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022059-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist