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NPI Code Detail

MEDICARE: MARKIAN L SONEVYTSKY PT

MEDICARE:   MARKIAN L SONEVYTSKY  PT
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
12251E1200XErgonomics Physical Therapist0040QA00956500NJ
22251G0304XGeriatric Physical Therapist0040QA00956500NJ
32251H1300XHuman Factors Physical Therapist0040QA00956500NJ
42251N0400XNeurology Physical Therapist0040QA00956500NJ
52251P0200XPediatric Physical Therapist0040QA00956500NJ
62251S0007XSports Physical Therapist0040QA00956500NJ
72251X0800XOrthopedic Physical Therapist40QA00956500NJ
8225100000XPhysical Therapist40QA00956500NJ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1105309DBDOTHERNJMEDICARE

General Provider Information

NPI Number : 1831134634
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARKIAN L SONEVYTSKY PT
Provider Business Mailing Address
First Line : 1180 RARITAN RD
Second Line : PO BOX 1014
City : CLARK
State : NJ
Zip : 07066-1311
Country : US
Telephone Number : 732-855-9751
Fax Number : 732-855-9755
Provider Business Practice Location Address
First Line : 3276 WASHINGTON RD
Second Line :
City : PARLIN
State : NJ
Zip : 08859-1676
Country : US
Telephone Number : 732-238-8484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2006
Last Update Date : 01/15/2015

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Directions to “ MARKIAN L SONEVYTSKY PT” Practice Location

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