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NPI Code Detail

MEDICARE: ALONA RODRIGUEZ SANTECO PT

MEDICARE: ALONA RODRIGUEZ SANTECO 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 Therapist21144-1NY

General Provider Information

NPI Number : 1770794844
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALONA RODRIGUEZ SANTECO PT
Provider Business Mailing Address
First Line : 21520 23RD RD FL 2
Second Line :
City : BAYSIDE
State : NY
Zip : 11360-2228
Country : US
Telephone Number : 718-423-2368
Fax Number : 718-770-7686
Provider Business Practice Location Address
First Line : 883 65TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4737
Country : US
Telephone Number : 718-283-8961
Fax Number : 718-639-8140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 07/08/2007

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Directions to “ ALONA RODRIGUEZ SANTECO PT” Practice Location

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