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NPI Code Detail

MEDICARE: STEPHY SEBASTIAN DPT

MEDICARE:   STEPHY  SEBASTIAN  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 Therapist043445NY

General Provider Information

NPI Number : 1407339252
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHY SEBASTIAN DPT
Provider Business Mailing Address
First Line : 37 MONTROSE RD
Second Line :
City : YONKERS
State : NY
Zip : 10710-2801
Country : US
Telephone Number : 914-888-6392
Fax Number :
Provider Business Practice Location Address
First Line : 46 COOK ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-4004
Country : US
Telephone Number : 718-701-7300
Fax Number : 718-701-7301
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2018
Last Update Date : 08/17/2023

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Directions to “ STEPHY SEBASTIAN DPT” Practice Location

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