MEDICARE: JOSEPH JOHN TRANI MS, PT

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	029809	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0324CJ	OTHER	NY	MEDICARE PTAN

General Provider Information

NPI Number	:	1407035223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH JOHN TRANI MS, PT

Provider Business Mailing Address
First Line	:	2142 UTOPIA PKWY
Second Line	:
City	:	WHITESTONE
State	:	NY
Zip	:	11357-4142
Country	:	US
Telephone Number	:	718-767-0610
Fax Number	:	718-767-1470

Provider Business Practice Location Address
First Line	:	54 MURRAY ST
Second Line	:	C/O EQUINOX
City	:	NEW YORK
State	:	NY
Zip	:	10007-2219
Country	:	US
Telephone Number	:	212-453-4622
Fax Number	:	212-453-4621

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

Provider Enumeration Date	:	10/29/2007
Last Update Date	:	10/14/2009

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