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NPI Code Detail

MEDICARE: RHEA ESCARO FUENTEBELLA PT

MEDICARE:   RHEA ESCARO FUENTEBELLA  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
1225100000XPhysical Therapist033783NY

General Provider Information

NPI Number : 1679391213
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHEA ESCARO FUENTEBELLA PT
Provider Business Mailing Address
First Line : 8644 57TH AVE APT 1F
Second Line :
City : ELMHURST
State : NY
Zip : 11373-4838
Country : US
Telephone Number : 917-444-0892
Fax Number :
Provider Business Practice Location Address
First Line : ASHA DUA PHYSICAL THERAPY
Second Line : 2035 RALPH AVE, SUITE B10
City : BROOKLYN
State : NY
Zip : 11234-5300
Country : US
Telephone Number : 718-251-4878
Fax Number : 718-251-3011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2024
Last Update Date : 10/02/2024

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Directions to “ RHEA ESCARO FUENTEBELLA PT” Practice Location

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