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NPI Code Detail

MEDICARE: PAUL SHANSKI

MEDICARE: PAUL SHANSKI
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 Therapist026862NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
211525192OTHERNYCAQH

General Provider Information

NPI Number : 1124172184
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL SHANSKI
Provider Business Mailing Address
First Line : 2606 E 15TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-3828
Country : US
Telephone Number : 718-332-0080
Fax Number : 718-332-3365
Provider Business Practice Location Address
First Line : 2610 E 18TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-3622
Country : US
Telephone Number : 718-332-0080
Fax Number : 718-332-3365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 07/09/2007

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Directions to “ PAUL SHANSKI ” Practice Location

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