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NPI Code Detail

MEDICARE: ALAIN SANTOS

MEDICARE:   ALAIN  SANTOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist40QA01396900NJ

General Provider Information

NPI Number : 1043580962
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAIN SANTOS
Provider Business Mailing Address
First Line : 3225 90TH ST
Second Line : APT. 110
City : EAST ELMHURST
State : NY
Zip : 11369-2356
Country : US
Telephone Number : 347-421-1752
Fax Number :
Provider Business Practice Location Address
First Line : 3225 90TH ST
Second Line : APT. 110
City : EAST ELMHURST
State : NY
Zip : 11369-2356
Country : US
Telephone Number : 347-421-1752
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2012
Last Update Date : 01/09/2012

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Directions to “ ALAIN SANTOS ” Practice Location

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