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NPI Code Detail

MEDICARE: TEGAN HAYEK DPT

MEDICARE:   TEGAN  HAYEK  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 Therapist044473NY

General Provider Information

NPI Number : 1851938161
Entity Type Code : Individual
Provider Name (Legal Business Name) : TEGAN HAYEK DPT
Provider Business Mailing Address
First Line : 207 W 79TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10024-6205
Country : US
Telephone Number : 212-874-1550
Fax Number : 212-874-1599
Provider Business Practice Location Address
First Line : 207 W 79TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10024-6205
Country : US
Telephone Number : 212-874-1550
Fax Number : 212-874-1599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2019
Last Update Date : 12/05/2019

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