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NPI Code Detail

MEDICARE: ACE PHYSICAL THERAPY OF NEW YORK P.C.

MEDICARE: ACE PHYSICAL THERAPY OF NEW YORK P.C.
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 Therapist024625NY

General Provider Information

NPI Number : 1407149743
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACE PHYSICAL THERAPY OF NEW YORK P.C.
Provider Business Mailing Address
First Line : 10825 MERRICK BLVD
Second Line :
City : JAMAICA
State : NY
Zip : 11433-2906
Country : US
Telephone Number : 718-658-9700
Fax Number :
Provider Business Practice Location Address
First Line : 10825 MERRICK BLVD
Second Line :
City : JAMAICA
State : NY
Zip : 11433-2906
Country : US
Telephone Number : 718-658-9700
Fax Number :
Authorized Official
Title or Position : BILLER
Name : FATIMA BARRETT
Credential :
Telephone Number : 718-658-9700
Provider Enumeration Date : 05/19/2011
Last Update Date : 05/19/2011

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Directions to “ACE PHYSICAL THERAPY OF NEW YORK P.C. ” Practice Location

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