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NPI Code Detail

MEDICARE: DR. JOSE MANUEL GAA LANZONA PT, DPT

MEDICARE:  DR. JOSE MANUEL GAA LANZONA  PT, DPT
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 Therapist054556NY

General Provider Information

NPI Number : 1699652743
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE MANUEL GAA LANZONA PT, DPT
Provider Business Mailing Address
First Line : 102 MADISON AVE FL 8
Second Line :
City : NEW YORK
State : NY
Zip : 10016-7584
Country : US
Telephone Number : 212-759-2282
Fax Number : 212-379-2123
Provider Business Practice Location Address
First Line : 741 MANHATTAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11222-6233
Country : US
Telephone Number : 646-347-0015
Fax Number : 212-379-2123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2025
Last Update Date : 12/11/2025

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Directions to “ DR. JOSE MANUEL GAA LANZONA PT, DPT” Practice Location

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