MEDICARE: DAPHNIE SALARZA SUBERE

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	66-P128203-01	NY

General Provider Information

NPI Number	:	1558101337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAPHNIE SALARZA SUBERE

Provider Business Mailing Address
First Line	:	107-02R JAMAICA AVE
Second Line	:
City	:	RICHMOND HILL
State	:	NY
Zip	:	11418
Country	:	US
Telephone Number	:	347-829-3890
Fax Number	:	347-829-3888

Provider Business Practice Location Address
First Line	:	107-02R JAMAICA AVE
Second Line	:
City	:	RICHMOND HILL
State	:	NY
Zip	:	11418
Country	:	US
Telephone Number	:	347-829-3890
Fax Number	:

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

Provider Enumeration Date	:	05/29/2024
Last Update Date	:	03/13/2026

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Directions to “ DAPHNIE SALARZA SUBERE ” Practice Location

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