MEDICARE: JOSETT ALFANO

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	013598-1	NY

General Provider Information

NPI Number	:	1285270298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSETT ALFANO

Provider Business Mailing Address
First Line	:	415 TREMONT ST
Second Line	:
City	:	NORTH TONAWANDA
State	:	NY
Zip	:	14120-6135
Country	:	US
Telephone Number	:	716-690-2031
Fax Number	:	716-690-2160

Provider Business Practice Location Address
First Line	:	415 TREMONT ST
Second Line	:
City	:	NORTH TONAWANDA
State	:	NY
Zip	:	14120-6135
Country	:	US
Telephone Number	:	716-690-2031
Fax Number	:	716-289-2160

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

Provider Enumeration Date	:	11/25/2019
Last Update Date	:	11/25/2019

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Directions to “ JOSETT ALFANO ” Practice Location

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