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NPI Code Detail

MEDICARE: KRISTINE ZIERIS

MEDICARE:   KRISTINE  ZIERIS
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 Therapist017951NY

General Provider Information

NPI Number : 1457661332
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE ZIERIS
Provider Business Mailing Address
First Line : 159 HEFFERNAN ST
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-1425
Country : US
Telephone Number : 718-967-8825
Fax Number :
Provider Business Practice Location Address
First Line : 159 HEFFERNAN ST
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-1425
Country : US
Telephone Number : 718-967-8825
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2010
Last Update Date : 10/13/2010

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Directions to “ KRISTINE ZIERIS ” Practice Location

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