MEDICARE: MR. EMMANUEL SALANGSANG CANLAS 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	021396	NY

General Provider Information

NPI Number	:	1346209939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EMMANUEL SALANGSANG CANLAS DPT

Provider Business Mailing Address
First Line	:	2736 OCEAN AVE
Second Line	:	SUITE 1A
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4705
Country	:	US
Telephone Number	:	718-837-4466
Fax Number	:	718-837-1179

Provider Business Practice Location Address
First Line	:	2736 OCEAN AVE
Second Line	:	SUITE 1A
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4705
Country	:	US
Telephone Number	:	718-837-4466
Fax Number	:	718-837-1179

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

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	12/17/2009

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