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NPI Code Detail

MEDICARE: SHARANN E RATKA

MEDICARE: SHARANN E RATKA
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 Therapist7570NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
21093490001OTHERNYMEDICARE DME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100025291701OTHERNYUNIVERA
39390363OTHERNYINDEPENDENT HEALTH

General Provider Information

NPI Number : 1851311625
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARANN E RATKA
Provider Business Mailing Address
First Line : 20 N WEDEMEYER DR
Second Line :
City : ELMA
State : NY
Zip : 14059-9540
Country : US
Telephone Number : 716-652-2461
Fax Number :
Provider Business Practice Location Address
First Line : 7 COMMUNITY DR
Second Line :
City : BUFFALO
State : NY
Zip : 14225-2523
Country : US
Telephone Number : 716-505-5630
Fax Number : 716-892-1936
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 07/08/2007

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Directions to “ SHARANN E RATKA ” Practice Location

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