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NPI Code Detail

MEDICARE: IWONA WERONIKA ROGALSKI PTA,

MEDICARE: IWONA WERONIKA ROGALSKI PTA,
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
1225200000XPhysical Therapy Assistant010952NY

General Provider Information

NPI Number : 1821561994
Entity Type Code : Individual
Provider Name (Legal Business Name) : IWONA WERONIKA ROGALSKI PTA,
Provider Business Mailing Address
First Line : 153 BAY 26TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-4938
Country : US
Telephone Number : 347-702-9958
Fax Number :
Provider Business Practice Location Address
First Line : 153 BAY 26TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-4938
Country : US
Telephone Number : 347-702-9958
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2019
Last Update Date : 01/10/2019

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Directions to “ IWONA WERONIKA ROGALSKI PTA,” Practice Location

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