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NPI Code Detail

MEDICARE: MR. DANIEL SALDIN PT

MEDICARE: MR. DANIEL SALDIN 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 Therapist004524NY

General Provider Information

NPI Number : 1104815331
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL SALDIN PT
Provider Business Mailing Address
First Line : 402 BIRCHWOOD PARK DR
Second Line :
City : MIDDLE ISLAND
State : NY
Zip : 11953-2646
Country : US
Telephone Number : 631-667-6613
Fax Number : 631-667-6614
Provider Business Practice Location Address
First Line : 1239 DEER PARK AVE
Second Line :
City : NORTH BABYLON
State : NY
Zip : 11703-3104
Country : US
Telephone Number : 631-667-6613
Fax Number : 631-667-6614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 11/08/2012

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