MEDICARE: DR. RIVKA MENDLOWITZ DPT

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	036536	NY

General Provider Information

NPI Number	:	1275956187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RIVKA MENDLOWITZ DPT

Provider Business Mailing Address
First Line	:	1931 E 26TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-2439
Country	:	US
Telephone Number	:	718-645-3362
Fax Number	:	718-336-7109

Provider Business Practice Location Address
First Line	:	1931 E 26TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-2439
Country	:	US
Telephone Number	:	718-645-3362
Fax Number	:	718-336-7109

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

Provider Enumeration Date	:	01/28/2014
Last Update Date	:	01/28/2014

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