MEDICARE: ZOYA NASTASKIN DPT

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
1	225100000X	Physical Therapist		PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1696380	OTHER	PA	BCBS
2	1696380	OTHER		HIGHMARK BCS PT GROUP
3	3843177	OTHER		AETNA
4	1693324	OTHER		HIGHMARK BCS PIN

General Provider Information

NPI Number	:	1245248186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZOYA NASTASKIN DPT

Provider Business Mailing Address
First Line	:	2248 DORCHESTER ST W
Second Line	:
City	:	FURLONG
State	:	PA
Zip	:	18925-1529
Country	:	US
Telephone Number	:	215-760-2787
Fax Number	:	215-501-5055

Provider Business Practice Location Address
First Line	:	2248 DORCHESTER ST W
Second Line	:
City	:	FURLONG
State	:	PA
Zip	:	18925-1529
Country	:	US
Telephone Number	:	215-760-2787
Fax Number	:	215-501-5055

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	10/25/2022

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Directions to “ ZOYA NASTASKIN DPT” Practice Location

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