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NPI Code Detail

MEDICARE: ASPIRE CENTER FOR HEALTH WELLNESS BROOKLYN LLP

MEDICARE: ASPIRE CENTER FOR HEALTH WELLNESS BROOKLYN LLP
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
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist
3225100000XPhysical Therapist

General Provider Information

NPI Number : 1437557428
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASPIRE CENTER FOR HEALTH WELLNESS BROOKLYN LLP
Provider Business Mailing Address
First Line : 248 W 35TH ST
Second Line : GROUND FLOOR
City : NEW YORK
State : NY
Zip : 10001-2505
Country : US
Telephone Number : 212-453-0036
Fax Number : 212-453-0037
Provider Business Practice Location Address
First Line : 2332 CONEY ISLAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-5002
Country : US
Telephone Number : 212-453-0036
Fax Number : 212-453-0037
Authorized Official
Title or Position : CO-OWNER
Name : MARISSA BARRERA
Credential :
Telephone Number : 212-453-0036
Provider Enumeration Date : 12/08/2014
Last Update Date : 06/04/2015

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Directions to “ASPIRE CENTER FOR HEALTH WELLNESS BROOKLYN LLP ” Practice Location

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