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NPI Code Detail

MEDICARE: HAYLEY AJA APISCOPA DPT

MEDICARE: HAYLEY AJA APISCOPA 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
12251P0200XPediatric Physical Therapist030047-1NY

General Provider Information

NPI Number : 1447399191
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAYLEY AJA APISCOPA DPT
Provider Business Mailing Address
First Line : 317 NORTH ST
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-2209
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 317 NORTH ST
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-2209
Country : US
Telephone Number : 914-597-4090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 11/17/2014

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Directions to “ HAYLEY AJA APISCOPA DPT” Practice Location

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