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NPI Code Detail

MEDICARE: MRS. JANE BROWNELL MASER

MEDICARE: MRS. JANE BROWNELL MASER
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 Therapist009611-1NY

General Provider Information

NPI Number : 1548413990
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANE BROWNELL MASER
Provider Business Mailing Address
First Line : 71 MAJESTIC RDG
Second Line :
City : CARMEL
State : NY
Zip : 10512-1830
Country : US
Telephone Number : 845-531-2881
Fax Number :
Provider Business Practice Location Address
First Line : 15 MOUNT EBO RD S
Second Line :
City : BREWSTER
State : NY
Zip : 10509-4004
Country : US
Telephone Number : 845-940-1810
Fax Number : 845-278-6984
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2008
Last Update Date : 10/29/2008

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