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NPI Code Detail

MEDICARE: AMPARO ADVIENTO P.T.

MEDICARE: AMPARO ADVIENTO 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 Therapist022827NY

General Provider Information

NPI Number : 1659569747
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMPARO ADVIENTO P.T.
Provider Business Mailing Address
First Line : 11940 UNION TPKE
Second Line : #5R
City : KEW GARDENS
State : NY
Zip : 11415-1161
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 104 DELANCEY ST
Second Line : 2FL
City : NEW YORK
State : NY
Zip : 10002-3202
Country : US
Telephone Number : 212-533-5090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2007
Last Update Date : 10/15/2007

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Directions to “ AMPARO ADVIENTO P.T.” Practice Location

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