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NPI Code Detail

MEDICARE: MISS MAURINE ABARAHAM VILLAPANDO PT

MEDICARE:  MISS MAURINE ABARAHAM VILLAPANDO  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 Therapist028133NY

General Provider Information

NPI Number : 1255364287
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MAURINE ABARAHAM VILLAPANDO PT
Provider Business Mailing Address
First Line : 1 SENNA DR
Second Line :
City : PARLIN
State : NJ
Zip : 08859-2513
Country : US
Telephone Number : 732-651-1485
Fax Number :
Provider Business Practice Location Address
First Line : 11020 JAMAICA AVE
Second Line :
City : RICHMOND HILL
State : NY
Zip : 11418-2324
Country : US
Telephone Number : 718-850-4644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 07/08/2007

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Directions to “ MISS MAURINE ABARAHAM VILLAPANDO PT” Practice Location

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