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NPI Code Detail

MEDICARE: DR. KRISTEN ANN LETTENBERGER

MEDICARE: DR. KRISTEN ANN LETTENBERGER
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 Therapist045273NY

General Provider Information

NPI Number : 1568008357
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTEN ANN LETTENBERGER
Provider Business Mailing Address
First Line : 101 BEDFORD AVE APT D605
Second Line :
City : BROOKLYN
State : NY
Zip : 11211-3781
Country : US
Telephone Number : 609-933-9635
Fax Number :
Provider Business Practice Location Address
First Line : 490 DRIGGS AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11211-2019
Country : US
Telephone Number : 718-398-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2019
Last Update Date : 11/27/2019

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Directions to “ DR. KRISTEN ANN LETTENBERGER ” Practice Location

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