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NPI Code Detail

MEDICARE: JC STEPPING STONE PHYSICAL THERAPY

MEDICARE: JC STEPPING STONE PHYSICAL THERAPY
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
1261QP2000XPhysical Therapy Clinic/Center035669NY

General Provider Information

NPI Number : 1952767444
Entity Type Code : Organization
Provider Name (Legal Business Name) : JC STEPPING STONE PHYSICAL THERAPY
Provider Business Mailing Address
First Line : 16316 84TH ST
Second Line :
City : HOWARD BEACH
State : NY
Zip : 11414-3319
Country : US
Telephone Number : 718-541-3575
Fax Number :
Provider Business Practice Location Address
First Line : 16316 84TH ST
Second Line :
City : HOWARD BEACH
State : NY
Zip : 11414-3319
Country : US
Telephone Number : 718-541-3575
Fax Number :
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : JUSTINE CLIFFORD
Credential : DPT
Telephone Number : 718-541-3575
Provider Enumeration Date : 01/13/2016
Last Update Date : 01/13/2016

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Directions to “JC STEPPING STONE PHYSICAL THERAPY ” Practice Location

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