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NPI Code Detail

MEDICARE: MS. DIANE M DE LUNA PT

MEDICARE:  MS. DIANE M DE LUNA  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 Therapist019283-1NY

General Provider Information

NPI Number : 1235386749
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DIANE M DE LUNA PT
Provider Business Mailing Address
First Line : 229 ASHFORD AVE
Second Line :
City : DOBBS FERRY
State : NY
Zip : 10522-1908
Country : US
Telephone Number : 914-830-7593
Fax Number :
Provider Business Practice Location Address
First Line : 631 SAW MILL RIVER RD
Second Line : SUITE 1N
City : ARDSLEY
State : NY
Zip : 10502-2146
Country : US
Telephone Number : 914-693-6377
Fax Number : 914-693-6384
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2008
Last Update Date : 08/26/2008

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Directions to “ MS. DIANE M DE LUNA PT” Practice Location

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