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NPI Code Detail

MEDICARE: MICHELE M PAYNE DPT

MEDICARE: MICHELE M PAYNE 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
1225100000XPhysical Therapist033746NY

General Provider Information

NPI Number : 1487941498
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE M PAYNE DPT
Provider Business Mailing Address
First Line : 1100 CLOVE RD APT GC
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10301-3632
Country : US
Telephone Number : 718-816-6500
Fax Number : 718-816-4677
Provider Business Practice Location Address
First Line : 33 RICHMOND HILL RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-5950
Country : US
Telephone Number : 718-982-6340
Fax Number : 718-982-5358
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2011
Last Update Date : 09/26/2018

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Directions to “ MICHELE M PAYNE DPT” Practice Location

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