MEDICARE: MRS. SHIPHRA SCHORR P.T.

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	014685-1	NY
2	2251P0200X	Pediatric Physical Therapist

General Provider Information

NPI Number	:	1073740700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHIPHRA SCHORR P.T.

Provider Business Mailing Address
First Line	:	1310 E 35TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-5430
Country	:	US
Telephone Number	:	718-692-2888
Fax Number	:

Provider Business Practice Location Address
First Line	:	1310 E 35TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-5430
Country	:	US
Telephone Number	:	718-692-2888
Fax Number	:

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

Provider Enumeration Date	:	06/21/2009
Last Update Date	:	06/21/2009

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