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NPI Code Detail

MEDICARE: NYSSPT, INC.

MEDICARE: NYSSPT, INC.
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
12251X0800XOrthopedic Physical Therapist026668-1NY

General Provider Information

NPI Number : 1972892446
Entity Type Code : Organization
Provider Name (Legal Business Name) : NYSSPT, INC.
Provider Business Mailing Address
First Line : 1829 HOBART AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-4117
Country : US
Telephone Number : 347-810-7637
Fax Number : 347-810-7638
Provider Business Practice Location Address
First Line : 1829 HOBART AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-4117
Country : US
Telephone Number : 347-810-7637
Fax Number : 347-810-7638
Authorized Official
Title or Position : PRESIDENT
Name : DR. KARN SANTIKUL
Credential : DPT
Telephone Number : 347-810-7637
Provider Enumeration Date : 04/05/2011
Last Update Date : 04/05/2011

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Directions to “NYSSPT, INC. ” Practice Location

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