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NPI Code Detail

MEDICARE: AMY HAUSER DPT

MEDICARE: AMY HAUSER 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 Therapist049987NY

General Provider Information

NPI Number : 1053042838
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY HAUSER DPT
Provider Business Mailing Address
First Line : 12 GOLF CLUB RD
Second Line :
City : SAINT JAMES
State : NY
Zip : 11780-3905
Country : US
Telephone Number : 631-559-7552
Fax Number :
Provider Business Practice Location Address
First Line : 1312 MIDDLE COUNTRY RD
Second Line :
City : SELDEN
State : NY
Zip : 11784-2514
Country : US
Telephone Number : 631-732-0700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2022
Last Update Date : 05/11/2026

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