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NPI Code Detail

MEDICARE: NOELLE IONADI PT, DPT, PA-C

MEDICARE: NOELLE IONADI PT, DPT, PA-C
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
1363A00000XPhysician Assistant25MP00444800NJ
2363A00000XPhysician Assistant021006-1NY
3225100000XPhysical Therapist40QA01466200NJ

General Provider Information

NPI Number : 1154672749
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOELLE IONADI PT, DPT, PA-C
Provider Business Mailing Address
First Line : 1 LONGSTREET LN
Second Line :
City : CRANBURY
State : NJ
Zip : 08512-2741
Country : US
Telephone Number : 732-406-6442
Fax Number :
Provider Business Practice Location Address
First Line : 2701 QUEENS PLZ N FL 10
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-4022
Country : US
Telephone Number : 877-514-1442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2012
Last Update Date : 03/17/2018

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