MEDICARE: GIANELLA ALECKZ DE GUZMAN ARGAO

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
1	225100000X	Physical Therapist	041111	NY

General Provider Information

NPI Number	:	1447949094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIANELLA ALECKZ DE GUZMAN ARGAO

Provider Business Mailing Address
First Line	:	280 ROUTE 299 STE 1
Second Line	:
City	:	HIGHLAND
State	:	NY
Zip	:	12528-2552
Country	:	US
Telephone Number	:	845-691-9169
Fax Number	:

Provider Business Practice Location Address
First Line	:	280 ROUTE 299 STE 1
Second Line	:
City	:	HIGHLAND
State	:	NY
Zip	:	12528-2552
Country	:	US
Telephone Number	:	845-691-9169
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2023
Last Update Date	:	05/01/2023

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