MEDICARE: JOANN FERRARA PT

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
1	225100000X	Physical Therapist	6804	NY

General Provider Information

NPI Number	:	1306847694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANN FERRARA PT

Provider Business Mailing Address
First Line	:	2391 BELL BLVD
Second Line	:	#203
City	:	BAYSIDE
State	:	NY
Zip	:	11360-2019
Country	:	US
Telephone Number	:	718-428-2600
Fax Number	:	718-428-7429

Provider Business Practice Location Address
First Line	:	2391 BELL BLVD
Second Line	:	#203
City	:	BAYSIDE
State	:	NY
Zip	:	11360-2019
Country	:	US
Telephone Number	:	718-428-2600
Fax Number	:	718-428-7429

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	05/29/2008

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Directions to “ JOANN FERRARA PT” Practice Location

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