MEDICARE: MR. BERZISHT ASPI HILLOOWALA

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	037216	NY

General Provider Information

NPI Number	:	1114342391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BERZISHT ASPI HILLOOWALA

Provider Business Mailing Address
First Line	:	6767 BURNS STREET
Second Line	:	APT 5U
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-3511
Country	:	US
Telephone Number	:	412-692-0829
Fax Number	:

Provider Business Practice Location Address
First Line	:	6767 BURNS STREET
Second Line	:	APT 5U
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-3511
Country	:	US
Telephone Number	:	412-692-0829
Fax Number	:

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

Provider Enumeration Date	:	02/25/2014
Last Update Date	:	11/25/2014

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