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NPI Code Detail

MEDICARE: MR. DIONISIO B MAURO JR. PT

MEDICARE: MR. DIONISIO B MAURO JR. PT
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 TherapistNY0085571NY

General Provider Information

NPI Number : 1972688018
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DIONISIO B MAURO JR. PT
Provider Business Mailing Address
First Line : 381 5TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-2806
Country : US
Telephone Number : 718-852-5252
Fax Number : 718-802-1113
Provider Business Practice Location Address
First Line : 332 DEKALB AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-3820
Country : US
Telephone Number : 718-852-5252
Fax Number : 718-802-1113
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 03/10/2008

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