MEDICARE: MEDICAL CAREWORKS, 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	2251G0304X	Geriatric Physical Therapist	141209-1	NY

General Provider Information

NPI Number	:	1477765881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL CAREWORKS, P.C.

Provider Business Mailing Address
First Line	:	606 W WALNUT ST
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-2919
Country	:	US
Telephone Number	:	718-819-2920
Fax Number	:

Provider Business Practice Location Address
First Line	:	606 W WALNUT ST
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-2919
Country	:	US
Telephone Number	:	718-819-2920
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RICHARD BIRRER
Credential	:	M.D.
Telephone Number	:	718-819-2920

Provider Enumeration Date	:	05/06/2007
Last Update Date	:	10/05/2007

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