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NPI Code Detail

MEDICARE: SHEILA MARIE BRODY LMT

MEDICARE: SHEILA MARIE BRODY LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist010529NY

General Provider Information

NPI Number : 1043090954
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA MARIE BRODY LMT
Provider Business Mailing Address
First Line : 8804 3RD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-5664
Country : US
Telephone Number : 718-921-6100
Fax Number : 718-921-4645
Provider Business Practice Location Address
First Line : 8804 3RD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-5664
Country : US
Telephone Number : 718-921-6100
Fax Number : 718-921-4645
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2023
Last Update Date : 09/29/2023

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