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NPI Code Detail

MEDICARE: CHAGANE HRANT ERAMIAN PTA

MEDICARE:   CHAGANE HRANT ERAMIAN  PTA
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
1225200000XPhysical Therapy Assistant005274NY

General Provider Information

NPI Number : 1861057069
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAGANE HRANT ERAMIAN PTA
Provider Business Mailing Address
First Line : 45 KEW GARDENS RD APT 2R
Second Line :
City : KEW GARDENS
State : NY
Zip : 11415-1149
Country : US
Telephone Number : 646-732-0941
Fax Number :
Provider Business Practice Location Address
First Line : 45 KEW GARDENS RD APT 2R
Second Line :
City : KEW GARDENS
State : NY
Zip : 11415-1149
Country : US
Telephone Number : 646-732-0941
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2019
Last Update Date : 05/03/2019

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Directions to “ CHAGANE HRANT ERAMIAN PTA” Practice Location

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