MEDICARE: EXPERT PHYSICAL MEDICINE & REHABILITATION, 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
1	208100000X	Physical Medicine & Rehabilitation Physician	164146	NY

General Provider Information

NPI Number	:	1275651135
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXPERT PHYSICAL MEDICINE & REHABILITATION, PC

Provider Business Mailing Address
First Line	:	103 S BEDFORD RD
Second Line	:	STE 206
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-3440
Country	:	US
Telephone Number	:	914-242-3500
Fax Number	:	914-242-7036

Provider Business Practice Location Address
First Line	:	103 S BEDFORD RD
Second Line	:	STE 206
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-3440
Country	:	US
Telephone Number	:	914-242-3500
Fax Number	:	914-242-7036

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. MARSHALL B KURTZ
Credential	:	D.O.
Telephone Number	:	914-242-3500

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	08/22/2020

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