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NPI Code Detail

MEDICARE: MS. LAURIE S GITTELMAN

MEDICARE:  MS. LAURIE S GITTELMAN
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 Therapist011601NY

General Provider Information

NPI Number : 1760626873
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURIE S GITTELMAN
Provider Business Mailing Address
First Line : 316 W 93RD ST
Second Line : 5F
City : NEW YORK
State : NY
Zip : 10025-7233
Country : US
Telephone Number : 646-709-6272
Fax Number : 212-866-5239
Provider Business Practice Location Address
First Line : 316 W 93RD ST
Second Line : 5F
City : NEW YORK
State : NY
Zip : 10025-7233
Country : US
Telephone Number : 646-709-6272
Fax Number : 212-866-5239
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2009
Last Update Date : 04/21/2009

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Directions to “ MS. LAURIE S GITTELMAN ” Practice Location

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