MEDICARE: METROPOLITAN PT OT RT SLT RN NT FAM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	104100000X	Social Worker
3	132700000X	Dietary Manager
4	163W00000X	Registered Nurse
5	183500000X	Pharmacist
6	225X00000X	Occupational Therapist
7	227800000X	Certified Respiratory Therapist
8	231H00000X	Audiologist
9	235Z00000X	Speech-Language Pathologist
10	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1528350584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPOLITAN PT OT RT SLT RN NT FAM

Provider Business Mailing Address
First Line	:	8900 VAN WYCK EXPY
Second Line	:	ROOM 4S
City	:	JAMAICA
State	:	NY
Zip	:	11418-2832
Country	:	US
Telephone Number	:	718-206-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	8900 VAN WYCK EXPY
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11418-2832
Country	:	US
Telephone Number	:	718-206-6000
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE VICE PRESIDENT AND CFO
Name	:	MR. MOUNIR DOSS
Credential	:
Telephone Number	:	718-206-6291

Provider Enumeration Date	:	05/10/2011
Last Update Date	:	05/10/2011

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