MEDICARE: TRINITY CARE PHYSICAL THERAPY PLLC

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	261QP2000X	Physical Therapy Clinic/Center	014882	NY

General Provider Information

NPI Number	:	1104852920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINITY CARE PHYSICAL THERAPY PLLC

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	:	PYHSICAL THERAPIST
Name	:	MR. ATEF BEKHEIT
Credential	:
Telephone Number	:	718-926-0445

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	08/22/2020

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