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Individual provider Active NPI Registered Respiratory Therapist · Boston, NY

NPI 1033683081 · NPPES record last updated Jan 13, 2019

Key facts

NPI
1033683081
Entity type
Individual (NPI type 1)
Primary specialty
Registered Respiratory Therapist 227900000X
License
007839 (NY)
Practice address
5563 Rice Rd
Boston, NY 14025-9732
Phone
(291) 777-8939
NPI assigned
Jan 13, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 007839 NY Yes

Addresses

Primary practice location

5563 Rice Rd
Boston, NY 14025-9732

Mailing address

5563 Rice Rd
Boston, NY 14025-9732
Phone (291) 777-8939

Other providers in Boston, NY

All providers in Boston, NY · Registered Respiratory Therapist in New York

Sources for this page

Verify at the official NPI Registry.