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NPI Code Detail

MEDICARE: MARINA HABIB PT, DPT

MEDICARE: MARINA HABIB 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 Therapist0407981NY

General Provider Information

NPI Number : 1083101554
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARINA HABIB PT, DPT
Provider Business Mailing Address
First Line : 65 COURT ST STE 102
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-4918
Country : US
Telephone Number : 718-993-5642
Fax Number :
Provider Business Practice Location Address
First Line : 65 COURT ST STE 102
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-4918
Country : US
Telephone Number : 718-993-5642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2018
Last Update Date : 09/16/2020

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