MEDICARE: KATHY MACH PT

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	2251X0800X	Orthopedic Physical Therapist	0386711	NY

General Provider Information

NPI Number	:	1255708392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHY MACH PT

Provider Business Mailing Address
First Line	:	144 E 7TH ST
Second Line	:	A4
City	:	NEW YORK
State	:	NY
Zip	:	10009
Country	:	US
Telephone Number	:	917-213-9561
Fax Number	:

Provider Business Practice Location Address
First Line	:	144 E 7TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10009-6203
Country	:	US
Telephone Number	:	917-213-9561
Fax Number	:

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

Provider Enumeration Date	:	08/24/2015
Last Update Date	:	09/26/2017

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Directions to “ KATHY MACH PT” Practice Location

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