Provider Demographics
NPI:1861182529
Name:WILBUR, BRITTANY CYNTHIA (PT, DPT)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:CYNTHIA
Last Name:WILBUR
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 OAKDALE AVE
Mailing Address - Street 2:
Mailing Address - City:CENTRAL ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11722-2308
Mailing Address - Country:US
Mailing Address - Phone:631-715-9055
Mailing Address - Fax:
Practice Address - Street 1:4080 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-5604
Practice Address - Country:US
Practice Address - Phone:516-862-3358
Practice Address - Fax:516-862-3359
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP119810225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist