MEDICARE: LINDA KASS

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	012143-1	NY
2	225X00000X	Occupational Therapist	003140-1	NY

General Provider Information

NPI Number	:	1275778482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA KASS

Provider Business Mailing Address
First Line	:	2166 BROADWAY APT 22E
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-6673
Country	:	US
Telephone Number	:	212-787-0966
Fax Number	:

Provider Business Practice Location Address
First Line	:	2166 BROADWAY APT 22E
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-6673
Country	:	US
Telephone Number	:	212-787-0966
Fax Number	:

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

Provider Enumeration Date	:	12/03/2008
Last Update Date	:	12/03/2008

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Directions to “ LINDA KASS ” Practice Location

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