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NPI Code Detail

MEDICARE: PATRICIA GIOVENCO PT

MEDICARE:   PATRICIA  GIOVENCO  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 Therapist012650-1NY

General Provider Information

NPI Number : 1699001867
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA GIOVENCO PT
Provider Business Mailing Address
First Line : 571A 16TH STREET
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-5914
Country : US
Telephone Number : 718-398-7273
Fax Number :
Provider Business Practice Location Address
First Line : 571A 16TH STREET
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-5914
Country : US
Telephone Number : 718-398-7273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2009
Last Update Date : 10/23/2009

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Directions to “ PATRICIA GIOVENCO PT” Practice Location

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