MEDICARE: MR. FRITZ GERHARD MEIER PT

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	010295	NY

General Provider Information

NPI Number	:	1033256656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FRITZ GERHARD MEIER PT

Provider Business Mailing Address
First Line	:	PO BOX 626
Second Line	:
City	:	PINE BUSH
State	:	NY
Zip	:	12566-0626
Country	:	US
Telephone Number	:	845-744-8801
Fax Number	:	845-744-5526

Provider Business Practice Location Address
First Line	:	155 CENTER STREET
Second Line	:
City	:	PINE BUSH
State	:	NY
Zip	:	12566-0626
Country	:	US
Telephone Number	:	845-744-8801
Fax Number	:	845-744-5526

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

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	07/08/2007

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