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NPI Code Detail

MEDICARE: DR. HELEN TARA FIELDS DPT

MEDICARE: DR. HELEN TARA FIELDS DPT
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 Therapist041804NY

General Provider Information

NPI Number : 1083130082
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HELEN TARA FIELDS DPT
Provider Business Mailing Address
First Line : 2617 CLOVERMERE RD
Second Line :
City : OCEANSIDE
State : NY
Zip : 11572-1304
Country : US
Telephone Number : 516-459-4920
Fax Number :
Provider Business Practice Location Address
First Line : 1827 ARCHER ST
Second Line :
City : BRONX
State : NY
Zip : 10460-6203
Country : US
Telephone Number : 516-459-4920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2017
Last Update Date : 08/21/2017

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Directions to “ DR. HELEN TARA FIELDS DPT” Practice Location

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