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NPI Code Detail

MEDICARE: MEGHAN EILEEN TREDER P.T, M.S.P.T, D.P.T

MEDICARE: MEGHAN EILEEN TREDER P.T, M.S.P.T, D.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
12251X0800XOrthopedic Physical TherapistPT018792OH
2225100000XPhysical Therapist031905NY

General Provider Information

NPI Number : 1346562519
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN EILEEN TREDER P.T, M.S.P.T, D.P.T
Provider Business Mailing Address
First Line : 50 COURT ST
Second Line : SUITE 12-10
City : BROOKLYN
State : NY
Zip : 11201-4859
Country : US
Telephone Number : 718-858-6546
Fax Number : 718-858-0165
Provider Business Practice Location Address
First Line : 50 COURT ST
Second Line : SUITE 12-10
City : BROOKLYN
State : NY
Zip : 11201-4859
Country : US
Telephone Number : 718-858-6546
Fax Number : 718-858-0165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2010
Last Update Date : 05/30/2025

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