DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ALLEN JACOB PT,DPT

MEDICARE: ALLEN JACOB PT,DPT
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 Therapist052799NY

General Provider Information

NPI Number : 1023849015
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLEN JACOB PT,DPT
Provider Business Mailing Address
First Line : 195 MARTIN AVE BLDG SUITE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-4325
Country : US
Telephone Number : 917-525-6773
Fax Number :
Provider Business Practice Location Address
First Line : 1441 SOUTH AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-3779
Country : US
Telephone Number : 718-303-9777
Fax Number : 718-303-9778
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2024
Last Update Date : 08/12/2024

Similar Medicare Providers

1346198942 — STATEN ISLAND FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE
Practice Location Address:
1441 SOUTH AVE
STATEN ISLAND, NY
10314-3779
Practice Phone: 718-226-1582
Practice Fax: 718-227-5814
1679530539 — DR. AGNES RADZIO MD
Practice Location Address:
1441 SOUTH AVE
STATEN ISLAND, NY
10314-3779
Practice Phone: 718-494-1900
Practice Fax:
1225085129 — DR. AJIT BELLIAPPA MD
Practice Location Address:
1441 SOUTH AVE
STATEN ISLAND, NY
10314-3779
Practice Phone: 332-243-6900
Practice Fax:
1275971459 — DR. ZACHARY EDWARD TANO M.D.
Practice Location Address:
1441 SOUTH AVE
STATEN ISLAND, NY
10314-3779
Practice Phone: 718-226-6461
Practice Fax:
1265296800 — ISHITA VIJAY KAMAT
Practice Location Address:
1441 SOUTH AVE
STATEN ISLAND, NY
10314-3779
Practice Phone: 516-614-5650
Practice Fax:
1629951819 — GISELLE CALDERON OT
Practice Location Address:
1441 SOUTH AVE
STATEN ISLAND, NY
10314-3779
Practice Phone: 718-303-9777
Practice Fax: 718-303-9778

Directions to “ ALLEN JACOB PT,DPT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.