MEDICARE: THERAPY AND BEYOND LLC

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	320700000X	Physical Disabilities Residential Treatment Facility	013594	NY

General Provider Information

NPI Number	:	1427302975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPY AND BEYOND LLC

Provider Business Mailing Address
First Line	:	2001 E 9TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-4145
Country	:	US
Telephone Number	:	917-796-4222
Fax Number	:

Provider Business Practice Location Address
First Line	:	455 N END AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10282-1131
Country	:	US
Telephone Number	:	917-796-4222
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST
Name	:	MRS. SHILANA FINKEL FINKEL-LAHAV
Credential	:
Telephone Number	:	917-796-4222

Provider Enumeration Date	:	11/06/2012
Last Update Date	:	11/06/2012

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