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NPI Code Detail

MEDICARE: NANCI LIEBERMAN-KRAUS P.T.

MEDICARE: NANCI LIEBERMAN-KRAUS P.T.
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 Therapist003029-1NY

General Provider Information

NPI Number : 1538488747
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCI LIEBERMAN-KRAUS P.T.
Provider Business Mailing Address
First Line : 190 GOLDENS BRIDGE RD
Second Line :
City : KATONAH
State : NY
Zip : 10536-2810
Country : US
Telephone Number : 914-232-3306
Fax Number : 914-232-4862
Provider Business Practice Location Address
First Line : 190 GOLDENS BRIDGE RD
Second Line :
City : KATONAH
State : NY
Zip : 10536-2810
Country : US
Telephone Number : 914-232-3306
Fax Number : 914-232-4862
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2010
Last Update Date : 05/27/2010

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