1013102623 NPI number — MRS. ANDREA PAPSON PT,DPT,SCS,ATC,CSCS

Table of content: MRS. ANDREA PAPSON PT,DPT,SCS,ATC,CSCS (NPI 1013102623)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013102623 NPI number — MRS. ANDREA PAPSON PT,DPT,SCS,ATC,CSCS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PAPSON
Provider First Name:
ANDREA
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PT,DPT,SCS,ATC,CSCS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013102623
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/20/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
535 E 70TH ST
Provider Second Line Business Mailing Address:
HOSPITAL FOR SPECIAL SURGERY
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10021-4823
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-606-1005
Provider Business Mailing Address Fax Number:
212-774-2089

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
525 E 71ST ST
Provider Second Line Business Practice Location Address:
BELAIRE BUILDING, GROUND FLOOR -SPORTS PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10021-4828
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-606-1005
Provider Business Practice Location Address Fax Number:
212-774-2089
Provider Enumeration Date:
09/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  034453-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com