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NPI Code Detail

MEDICARE: JAY HUNT P.T.

MEDICARE: JAY HUNT P.T.
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 Therapist026008NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12432882OTHERNYUNITED HEALTHCARE

General Provider Information

NPI Number : 1366467938
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAY HUNT P.T.
Provider Business Mailing Address
First Line : 413 86TH ST
Second Line : 2ND FLOOR
City : BROOKLYN
State : NY
Zip : 11209-4707
Country : US
Telephone Number : 718-921-9721
Fax Number :
Provider Business Practice Location Address
First Line : 186 JORALEMON ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-4356
Country : US
Telephone Number : 929-455-2399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 04/12/2021

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