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NPI Code Detail

MEDICARE: T&M REHAB PT PC

MEDICARE: T&M REHAB PT PC
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
1174400000XSpecialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1026050OTHERNYLICENSE

General Provider Information

NPI Number : 1134362494
Entity Type Code : Organization
Provider Name (Legal Business Name) : T&M REHAB PT PC
Provider Business Mailing Address
First Line : 7211 AUSTIN ST
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-5354
Country : US
Telephone Number : 718-941-5400
Fax Number : 718-941-5405
Provider Business Practice Location Address
First Line : 2020 CORTELYOU RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-5904
Country : US
Telephone Number : 718-941-5400
Fax Number : 718-641-5405
Authorized Official
Title or Position : PRESIDENT
Name : DR. TAMER GAD
Credential : PT
Telephone Number : 718-941-5400
Provider Enumeration Date : 04/15/2009
Last Update Date : 04/15/2009

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