MEDICARE: MR. MATTHEW G. SPIEGELMAN MPT

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	022095-1	NY
2	208100000X	Physical Medicine & Rehabilitation Physician	022095-1	NY

General Provider Information

NPI Number	:	1578650859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MATTHEW G. SPIEGELMAN MPT

Provider Business Mailing Address
First Line	:	106 CARLYLE PL
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-1206
Country	:	US
Telephone Number	:	917-832-0605
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 UNION AVE STE K
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11211-7467
Country	:	US
Telephone Number	:	718-387-7420
Fax Number	:	718-387-7421

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

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	04/24/2026

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