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NPI Code Detail

MEDICARE: NADIR MEMON D.P.T.

MEDICARE:   NADIR  MEMON  D.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 Therapist032749-1NY

General Provider Information

NPI Number : 1629389259
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADIR MEMON D.P.T.
Provider Business Mailing Address
First Line : 346 LARKFIELD RD
Second Line :
City : EAST NORTHPORT
State : NY
Zip : 11731-2905
Country : US
Telephone Number : 631-623-6371
Fax Number : 631-623-6373
Provider Business Practice Location Address
First Line : 346 LARKFIELD RD
Second Line :
City : EAST NORTHPORT
State : NY
Zip : 11731-2905
Country : US
Telephone Number : 631-623-6371
Fax Number : 631-623-6373
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2010
Last Update Date : 06/09/2011

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Directions to “ NADIR MEMON D.P.T.” Practice Location

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