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NPI Code Detail

MEDICARE: DEVORAH B SHUBOWITZ PT

MEDICARE: DEVORAH B SHUBOWITZ 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 Therapist012636NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1434M8SHOTHERBCBS MINNESOTA
2HP55755OTHERHEALTH PARTNERS
36405849OTHERMEDICA

General Provider Information

NPI Number : 1942258629
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVORAH B SHUBOWITZ PT
Provider Business Mailing Address
First Line : 138 READE ST
Second Line :
City : NEW YORK
State : NY
Zip : 10013-3968
Country : US
Telephone Number : 212-608-9661
Fax Number :
Provider Business Practice Location Address
First Line : 138 READE ST
Second Line :
City : NEW YORK
State : NY
Zip : 10013-3968
Country : US
Telephone Number : 212-608-9661
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 01/05/2015

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