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NPI Code Detail

MEDICARE: MS. MARY T HUGHES-JOHNSON PT., DPT

MEDICARE: MS. MARY T HUGHES-JOHNSON PT., 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 Therapist030750NY

General Provider Information

NPI Number : 1922332337
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY T HUGHES-JOHNSON PT., DPT
Provider Business Mailing Address
First Line : 8804 3RD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-5664
Country : US
Telephone Number : 917-698-0812
Fax Number :
Provider Business Practice Location Address
First Line : 8804 3RD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-5664
Country : US
Telephone Number : 917-698-0812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2009
Last Update Date : 11/17/2020

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