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NPI Code Detail

MEDICARE: MS. REBECCA PIZARRO-MATOS

MEDICARE: MS. REBECCA PIZARRO-MATOS
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 TherapistNY

General Provider Information

NPI Number : 1790209815
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA PIZARRO-MATOS
Provider Business Mailing Address
First Line : 7 CARNEGIE PLZ
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08003-1000
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3820 BOWNE ST
Second Line :
City : FLUSHING
State : NY
Zip : 11354-5638
Country : US
Telephone Number : 877-407-3422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2017
Last Update Date : 07/31/2017

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