Mia E Azcue, PT
Physical Therapist in Putnam Valley, NY. Individual provider (NPI-1).
NPI number1992832349
StatusActive
Last updated in NPPESNov 2, 2010
Details
- NPI
- 1992832349
- Entity type
- Individual (NPI-1)
- Name
- Mia E Azcue
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2007
- Last updated
- Nov 2, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 11211-1 | NY | Yes |
Practice location
21 Peekskill Hollow Rd Ste 201Putnam Valley, NY 10579-3254
Phone 845-528-3133
Mailing address
11 Quail RdgPutnam Valley, NY 10579-3108
Phone 845-528-8565
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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