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NPI Code Detail

MEDICARE: DR. DANA RADEL SMITH DPT

MEDICARE:  DR. DANA RADEL SMITH  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
1225100000XPhysical Therapist016874-1NY
22251P0200XPediatric Physical Therapist016874-1NY

General Provider Information

NPI Number : 1386899912
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANA RADEL SMITH DPT
Provider Business Mailing Address
First Line : 495 CENTRAL PARK AVE STE 206
Second Line :
City : SCARSDALE
State : NY
Zip : 10583-1038
Country : US
Telephone Number : 929-335-3478
Fax Number :
Provider Business Practice Location Address
First Line : 495 CENTRAL PARK AVE STE 206
Second Line :
City : SCARSDALE
State : NY
Zip : 10583-1038
Country : US
Telephone Number : 929-335-3478
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2008
Last Update Date : 07/21/2022

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Directions to “ DR. DANA RADEL SMITH DPT” Practice Location

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