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Individual
MR. JOHN ASTRAB
Active
Individual
MR. JOHN ASTRAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS PT OCS CSCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023964
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013701
ORTHONET AETNA HMO
—
01
—
0222701
ORTHONET CIGNA HMO
—
01
—
109230200
US DEPT OF LABOR
—
01
—
133542448
PHCS
—
01
—
133542448-02
LOCAL 1199
—
01
—
133542448-17
FIRST HEALTH/ICM
—
01
—
3104338
AETNA HMO
—
01
—
5466920
CIGNA PPO
—
01
—
7473440
AETNA PPO
—
01
—
QP3601
EMPIRE BC/BS
NY
Enumeration date
06/15/2005
Last updated
09/09/2014
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