MEDICARE: DR. NORMA BILBOOL MD

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	208100000X	Physical Medicine & Rehabilitation Physician	045759	CT
2	174400000X	Specialist	10712	MT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	250000407	OTHER	CT	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10712	OTHER	MT	MONTANA STATE LICENSE
2	000084498	OTHER	MT	UNKNOWN

General Provider Information

NPI Number	:	1700882610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMA BILBOOL MD

Provider Business Mailing Address
First Line	:	26 FIREMENS MEMORIAL DR
Second Line	:	115
City	:	POMONA
State	:	NY
Zip	:	10970-3553
Country	:	US
Telephone Number	:	800-750-8616
Fax Number	:	845-362-8474

Provider Business Practice Location Address
First Line	:	222 ROUTE 59
Second Line	:	SUITE 106
City	:	SUFFERN
State	:	NY
Zip	:	10901-5204
Country	:	US
Telephone Number	:	800-750-8616
Fax Number	:	845-362-8474

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

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	03/07/2023

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Directions to “ DR. NORMA BILBOOL MD” Practice Location

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