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NPI Code Detail

MEDICARE: CLAUDIA FERNANDA RODAS P.T.

MEDICARE: CLAUDIA FERNANDA RODAS P.T.
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 Therapist021695NY

General Provider Information

NPI Number : 1487891743
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAUDIA FERNANDA RODAS P.T.
Provider Business Mailing Address
First Line : 1203 RIVER RD APT 9H
Second Line :
City : EDGEWATER
State : NJ
Zip : 07020-1464
Country : US
Telephone Number : 201-658-7842
Fax Number :
Provider Business Practice Location Address
First Line : 1434 LONGFELLOW AVE
Second Line :
City : BRONX
State : NY
Zip : 10459-1604
Country : US
Telephone Number : 718-589-3060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2009
Last Update Date : 06/11/2012

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