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NPI Code Detail

MEDICARE: RAYMOND M. SILEO P.T., D.P.T

MEDICARE: RAYMOND M. SILEO P.T., D.P.T
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 Therapist027466-1NY

General Provider Information

NPI Number : 1922113372
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYMOND M. SILEO P.T., D.P.T
Provider Business Mailing Address
First Line : 7 CARNEGIE PLZ
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08003-1000
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Provider Business Practice Location Address
First Line : 141 W 73RD ST
Second Line : 1A
City : NEW YORK
State : NY
Zip : 10023-2916
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 03/14/2013

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