MEDICARE: ALICIA HARRINGTON PT, 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
1	225100000X	Physical Therapist	044276	NY
2	225100000X	Physical Therapist	40QA01835500	NJ

General Provider Information

NPI Number	:	1548718539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA HARRINGTON PT, DPT

Provider Business Mailing Address
First Line	:	1855 RICHMOND AVE STE 101A
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-3912
Country	:	US
Telephone Number	:	718-370-2346
Fax Number	:

Provider Business Practice Location Address
First Line	:	1855 RICHMOND AVE STE 101A
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-3912
Country	:	US
Telephone Number	:	718-370-2346
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2016
Last Update Date	:	07/19/2019

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