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Contact Information

HAZEL R SECRETO, PT
1827 WALLACE AVE
BRONX, NY10462-3601
 Phone: 646-640-6111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for HAZEL R SECRETO · (Female)

NPI Number 1730914631
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 09/03/2024
Last updated 09/03/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 052314-01
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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