Hina Aslam Ticknor, | |
340 S Broadway, Yonkers, NY 10705 | |
(914) 968-5125 | |
Not Available |
Full Name | Hina Aslam Ticknor |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 340 S Broadway, Yonkers, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447930607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 049064 (New York) | Primary |
Provider Name | Doctors United, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508979162 PECOS PAC ID: 1153212162 Enrollment ID: O20040322000115 |
Mailing Address | Practice Location Address |
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Hina Aslam Ticknor, 340 S Broadway, Yonkers, NY 10705-2049 Ph: (914) 968-5125 | Hina Aslam Ticknor, 340 S Broadway, Yonkers, NY 10705 Ph: (914) 968-5125 |
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