Individual ProviderMichael Vincent ProcacciniPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address55 Hopewell Dr, Stony Brook, NY 11790-2340(631) 258-9538PECOS EnrollmentBased on the most recent information from CMS, provider Michael Vincent Procaccini does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1740222959Provider TypeIndividualFull NameProcaccini, Michael VincentTitleMr.CredentialP.T.GenderMaleSole ProprietorYesEnumeration Date6/12/2006Last Updated2/24/2008Contact InformationPractice LocationPractice Address55 Hopewell Dr, Stony Brook, NY 11790-2340Phone(631) 258-9538FaxUnlisted FaxMailing LocationMailing Address55 Hopewell Dr, Stony Brook, NY 11790-2340Phone(631) 258-9538FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense020541-1New York