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NPI Code Detail

MEDICARE: ELVIRA KACAJ PT DPT

MEDICARE: ELVIRA KACAJ 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 Therapist030035NY

General Provider Information

NPI Number : 1962680074
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELVIRA KACAJ PT DPT
Provider Business Mailing Address
First Line : 7608 15TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-2510
Country : US
Telephone Number : 718-259-0900
Fax Number : 718-232-5048
Provider Business Practice Location Address
First Line : 7608 15TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-2510
Country : US
Telephone Number : 718-259-0900
Fax Number : 718-232-5048
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2008
Last Update Date : 01/31/2008

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Directions to “ ELVIRA KACAJ PT DPT” Practice Location

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