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NPI Code Detail

MEDICARE: DR. MELISSA S KERAS-DONAGHY PT, DPT, CLT-LANA

MEDICARE: DR. MELISSA S KERAS-DONAGHY PT, DPT, CLT-LANA
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 Therapist011394-1NY

General Provider Information

NPI Number : 1487747721
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELISSA S KERAS-DONAGHY PT, DPT, CLT-LANA
Provider Business Mailing Address
First Line : 1241 MAMARONECK AVE
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-5201
Country : US
Telephone Number : 914-421-1500
Fax Number : 914-421-1501
Provider Business Practice Location Address
First Line : 1241 MAMARONECK AVE
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-5201
Country : US
Telephone Number : 914-421-1500
Fax Number : 914-421-1501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2006
Last Update Date : 06/11/2008

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