MEDICARE: MR. ALLEN ESHMOILI DPT

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	028155	NY
2	225100000X	Physical Therapist	PT42931	FL

General Provider Information

NPI Number	:	1396793014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALLEN ESHMOILI DPT

Provider Business Mailing Address
First Line	:	8 CAMBRIDGE RD
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11023-2218
Country	:	US
Telephone Number	:	516-429-4375
Fax Number	:

Provider Business Practice Location Address
First Line	:	785 S STATE ROAD 7
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33023-6710
Country	:	US
Telephone Number	:	754-277-4940
Fax Number	:	754-287-2261

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	07/30/2025

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