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NPI Code Detail

MEDICARE: ANNE RONILYN SATAJO-SAMMS PT

MEDICARE: ANNE RONILYN SATAJO-SAMMS 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 Therapist029076-1NY

General Provider Information

NPI Number : 1164727186
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE RONILYN SATAJO-SAMMS PT
Provider Business Mailing Address
First Line : 3555 BAINBRIDGE AVE
Second Line : TENDER LOVING CARE PHYSICAL THERAPY
City : BRONX
State : NY
Zip : 10467-1411
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3555 BAINBRIDGE AVE
Second Line : TENDER LOVING CARE PHYSICAL THERAPY
City : BRONX
State : NY
Zip : 10467-1411
Country : US
Telephone Number : 718-652-3535
Fax Number : 718-652-2323
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2011
Last Update Date : 01/22/2011

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