MEDICARE: ALEKSEY SEMENETS 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
1	225100000X	Physical Therapist	039029	NY

General Provider Information

NPI Number	:	1942679576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEKSEY SEMENETS DPT

Provider Business Mailing Address
First Line	:	15803 91ST ST
Second Line	:
City	:	HOWARD BEACH
State	:	NY
Zip	:	11414-3117
Country	:	US
Telephone Number	:	718-848-9400
Fax Number	:	718-848-7934

Provider Business Practice Location Address
First Line	:	15803 91ST ST
Second Line	:
City	:	HOWARD BEACH
State	:	NY
Zip	:	11414-3117
Country	:	US
Telephone Number	:	718-848-9400
Fax Number	:	718-848-7934

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2015
Last Update Date	:	09/24/2015

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Directions to “ ALEKSEY SEMENETS DPT” Practice Location

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