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NPI Code Detail

MEDICARE: RICHARD JAMES VANNORSTRAND PT

MEDICARE: RICHARD JAMES VANNORSTRAND 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
12251X0800XOrthopedic Physical Therapist009935-1NY

General Provider Information

NPI Number : 1477684066
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD JAMES VANNORSTRAND PT
Provider Business Mailing Address
First Line : 110 S BEDFORD RD
Second Line : CAREMOUNT MEDICAL PC
City : MOUNT KISCO
State : NY
Zip : 10549-3446
Country : US
Telephone Number : 914-241-1050
Fax Number : 914-242-1516
Provider Business Practice Location Address
First Line : 10 CRANBERRY DR
Second Line :
City : HOPEWELL JUNCTION
State : NY
Zip : 12533-5367
Country : US
Telephone Number : 845-231-5600
Fax Number : 845-231-5489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 11/23/2016

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