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NPI Code Detail

MEDICARE: ADAM ELBERG PT

MEDICARE: ADAM ELBERG PT
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 Therapist014059NY

General Provider Information

NPI Number : 1659324770
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM ELBERG PT
Provider Business Mailing Address
First Line : 2142 UTOPIA PKWY
Second Line :
City : WHITESTONE
State : NY
Zip : 11357-4142
Country : US
Telephone Number : 718-767-0610
Fax Number : 718-767-1470
Provider Business Practice Location Address
First Line : 2142 UTOPIA PKWY
Second Line :
City : WHITESTONE
State : NY
Zip : 11357-4142
Country : US
Telephone Number : 718-767-0610
Fax Number : 718-767-1470
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 11/30/2016

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Directions to “ ADAM ELBERG PT” Practice Location

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