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NPI Code Detail

MEDICARE: MS. ROWENA SALVANERA P.T

MEDICARE: MS. ROWENA SALVANERA 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 Therapist019371NY

General Provider Information

NPI Number : 1649218330
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROWENA SALVANERA P.T
Provider Business Mailing Address
First Line : 200 W 58TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10019-1432
Country : US
Telephone Number : 212-307-1151
Fax Number : 212-307-0759
Provider Business Practice Location Address
First Line : 6860 AUSTIN ST
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-4220
Country : US
Telephone Number : 718-896-4100
Fax Number : 718-896-7760
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2006
Last Update Date : 07/08/2007

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