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NPI Code Detail

MEDICARE: RIA KATRINA DY DALUZ PT

MEDICARE: RIA KATRINA DY DALUZ 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
1225200000XPhysical Therapy Assistant012207NY
2225100000XPhysical Therapist044318NY

General Provider Information

NPI Number : 1477200640
Entity Type Code : Individual
Provider Name (Legal Business Name) : RIA KATRINA DY DALUZ PT
Provider Business Mailing Address
First Line : 2 MEDICAL PLZ
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-2108
Country : US
Telephone Number : 516-740-9900
Fax Number :
Provider Business Practice Location Address
First Line : 2 MEDICAL PLZ
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-2108
Country : US
Telephone Number : 516-740-9900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2022
Last Update Date : 01/06/2026

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