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NPI Code Detail

MEDICARE: DR. ALI LADAK PT, DPT

MEDICARE:  DR. ALI  LADAK  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 TherapistPT24754FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770817066
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALI LADAK PT, DPT
Provider Business Mailing Address
First Line : 1221 GENOA LOCKE TOWNLINE RD
Second Line :
City : LOCKE
State : NY
Zip : 13092-3174
Country : US
Telephone Number : 716-462-2243
Fax Number :
Provider Business Practice Location Address
First Line : 2727 NW 167TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33056-4406
Country : US
Telephone Number : 305-622-7575
Fax Number : 305-622-9464
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2009
Last Update Date : 01/24/2011

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