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NPI Code Detail

MEDICARE: RITA ELSY JOSEPH DPT

MEDICARE: RITA ELSY JOSEPH 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 Therapist028977-1NY

General Provider Information

NPI Number : 1528118353
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITA ELSY JOSEPH DPT
Provider Business Mailing Address
First Line : 8823 215TH ST
Second Line :
City : QUEENS VILLAGE
State : NY
Zip : 11427-2403
Country : US
Telephone Number : 718-776-3880
Fax Number :
Provider Business Practice Location Address
First Line : 1450 MADISON AVE
Second Line : BOX 1674
City : NEW YORK
State : NY
Zip : 10029-6508
Country : US
Telephone Number : 212-241-7172
Fax Number : 212-426-5369
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 07/08/2007

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