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NPI Code Detail

MEDICARE: MRS. EYDIE MORGENBESSER MPT

MEDICARE:  MRS. EYDIE  MORGENBESSER  MPT
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
12251P0200XPediatric Physical TherapistNY

General Provider Information

NPI Number : 1215202981
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EYDIE MORGENBESSER MPT
Provider Business Mailing Address
First Line : 18 BEAVER ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-4504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 18 BEAVER ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-4504
Country : US
Telephone Number : 718-443-9402
Fax Number : 718-602-2805
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2012
Last Update Date : 03/29/2012

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Directions to “ MRS. EYDIE MORGENBESSER MPT” Practice Location

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