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NPI Code Detail

MEDICARE: MS. ANN MARIE CHAN PELAYRE PT

MEDICARE:  MS. ANN MARIE CHAN PELAYRE  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
1225100000XPhysical Therapist023634NY

General Provider Information

NPI Number : 1437126711
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANN MARIE CHAN PELAYRE PT
Provider Business Mailing Address
First Line : 357 LINCOLN ST
Second Line :
City : FRANKLIN SQUARE
State : NY
Zip : 11010-2148
Country : US
Telephone Number : 516-270-3514
Fax Number :
Provider Business Practice Location Address
First Line : 4200 SUNRISE HWY
Second Line :
City : MASSAPEQUA
State : NY
Zip : 11758-5303
Country : US
Telephone Number : 516-541-1064
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2006
Last Update Date : 05/21/2008

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Directions to “ MS. ANN MARIE CHAN PELAYRE PT” Practice Location

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