MEDICARE: MARIA CHARISMA GARCIA HUJSAK PT, 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	33530	CA
2	225100000X	Physical Therapist	40QA01203700	NJ
3	225100000X	Physical Therapist	26722	NY

General Provider Information

NPI Number	:	1336360437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA CHARISMA GARCIA HUJSAK PT, DPT

Provider Business Mailing Address
First Line	:	3190 RIVERDALE AVE APT 3A
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-3857
Country	:	US
Telephone Number	:	347-427-6676
Fax Number	:	347-427-6676

Provider Business Practice Location Address
First Line	:	3190 RIVERDALE AVE APT 3A
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-3857
Country	:	US
Telephone Number	:	347-427-6676
Fax Number	:	347-427-6676

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

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	02/23/2022

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