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NPI Code Detail

MEDICARE: ANJIE ACE GARCIANO ZOZOBRADO PT

MEDICARE: ANJIE ACE GARCIANO ZOZOBRADO 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 Therapist024998NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1024998OTHERNYLICENSE

General Provider Information

NPI Number : 1033208855
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANJIE ACE GARCIANO ZOZOBRADO PT
Provider Business Mailing Address
First Line : 3272 STEINWAY ST STE B02
Second Line :
City : ASTORIA
State : NY
Zip : 11103-4183
Country : US
Telephone Number : 646-744-8903
Fax Number :
Provider Business Practice Location Address
First Line : 3272 STEINWAY ST STE B02
Second Line :
City : ASTORIA
State : NY
Zip : 11103-4183
Country : US
Telephone Number : 646-744-8903
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 03/03/2023

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