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NPI Code Detail

MEDICARE: SALVACION PHYSICAL THERAPY P.C.

MEDICARE: SALVACION PHYSICAL THERAPY P.C.
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
1208100000XPhysical Medicine & Rehabilitation Physician

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 : 1841779121
Entity Type Code : Organization
Provider Name (Legal Business Name) : SALVACION PHYSICAL THERAPY P.C.
Provider Business Mailing Address
First Line : 4237 JUDGE ST BSMT
Second Line :
City : ELMHURST
State : NY
Zip : 11373-2554
Country : US
Telephone Number : 646-468-8250
Fax Number :
Provider Business Practice Location Address
First Line : 3744 75TH ST BSMT
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-6444
Country : US
Telephone Number : 718-803-7300
Fax Number :
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : DR. RAY SALVACION
Credential : DPT
Telephone Number : 646-468-8250
Provider Enumeration Date : 08/08/2018
Last Update Date : 08/08/2018

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Directions to “SALVACION PHYSICAL THERAPY P.C. ” Practice Location

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