MEDICARE: DALBEER KAUR MAKHAN SINGH PAWAR P.T

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
1	225100000X	Physical Therapist	035671-1	NY

General Provider Information

NPI Number	:	1134552805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DALBEER KAUR MAKHAN SINGH PAWAR P.T

Provider Business Mailing Address
First Line	:	189A FOREST AVE.
Second Line	:
City	:	GLEN COVE
State	:	NY
Zip	:	11542-2515
Country	:	US
Telephone Number	:	516-759-2032
Fax Number	:	516-759-2117

Provider Business Practice Location Address
First Line	:	189A FOREST AVE.
Second Line	:
City	:	GLEN COVE
State	:	NY
Zip	:	11542-2515
Country	:	US
Telephone Number	:	516-759-2032
Fax Number	:	516-759-2117

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2013
Last Update Date	:	03/07/2014

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