MEDICARE: TOP CARE PHYSICAL THERAPY & REHABILITATION, P.C.

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	030535-1	NY

General Provider Information

NPI Number	:	1073832168
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOP CARE PHYSICAL THERAPY & REHABILITATION, P.C.

Provider Business Mailing Address
First Line	:	6605 MYRTLE AVE
Second Line	:
City	:	GLENDALE
State	:	NY
Zip	:	11385-7049
Country	:	US
Telephone Number	:	347-335-0479
Fax Number	:	347-335-0497

Provider Business Practice Location Address
First Line	:	6605 MYRTLE AVE
Second Line	:
City	:	GLENDALE
State	:	NY
Zip	:	11385-7049
Country	:	US
Telephone Number	:	347-335-0479
Fax Number	:	347-335-0497

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. ANNA KOPACZ
Credential	:	DPT
Telephone Number	:	347-335-0479

Provider Enumeration Date	:	05/28/2010
Last Update Date	:	03/07/2013

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