MEDICARE: EUROPEAN PHYSICAL THERAPY P C

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	208100000X	Physical Medicine & Rehabilitation Physician
2	261QP2000X	Physical Therapy Clinic/Center	018633	NY

General Provider Information

NPI Number	:	1235313008
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EUROPEAN PHYSICAL THERAPY P C

Provider Business Mailing Address
First Line	:	2620 OCEAN PKWY
Second Line	:	SUITE 5G
City	:	BROOKLYN
State	:	NY
Zip	:	11235-7748
Country	:	US
Telephone Number	:	347-267-2881
Fax Number	:	347-374-4496

Provider Business Practice Location Address
First Line	:	726 AVENUE Z
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-6322
Country	:	US
Telephone Number	:	718-616-0026
Fax Number	:	347-374-4496

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. EUGENE KORO
Credential	:	DPT, CAMT
Telephone Number	:	347-267-2881

Provider Enumeration Date	:	12/28/2007
Last Update Date	:	01/27/2014

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Directions to “EUROPEAN PHYSICAL THERAPY P C ” Practice Location

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