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NPI Code Detail

MEDICARE: ERENCAN CELIK PT

MEDICARE: ERENCAN CELIK 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
1225200000XPhysical Therapy Assistant012938NY
2225100000XPhysical Therapist050017NY

General Provider Information

NPI Number : 1114691227
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERENCAN CELIK PT
Provider Business Mailing Address
First Line : 50 SHORE BLVD APT 5J
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-4040
Country : US
Telephone Number : 347-387-9806
Fax Number :
Provider Business Practice Location Address
First Line : 153 BAY 26TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-4938
Country : US
Telephone Number : 347-702-9959
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2021
Last Update Date : 03/10/2023

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