MEDICARE: ATEF ERIAN BEKHEIT PHYSICAL THERAPIST

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	014482-1	NY

General Provider Information

NPI Number	:	1578720959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ATEF ERIAN BEKHEIT PHYSICAL THERAPIST

Provider Business Mailing Address
First Line	:	23019 67TH AVE
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-2701
Country	:	US
Telephone Number	:	718-819-0463
Fax Number	:

Provider Business Practice Location Address
First Line	:	23019 67TH AVE
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-2701
Country	:	US
Telephone Number	:	718-819-0463
Fax Number	:

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

Provider Enumeration Date	:	05/22/2008
Last Update Date	:	05/22/2008

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