MEDICARE: KAMRAN BARROS-RASHID 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

General Provider Information

NPI Number	:	1295262657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAMRAN BARROS-RASHID DPT

Provider Business Mailing Address
First Line	:	1400 5TH AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10026-2584
Country	:	US
Telephone Number	:	212-996-3303
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 5TH AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10026-2584
Country	:	US
Telephone Number	:	212-996-3303
Fax Number	:

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

Provider Enumeration Date	:	05/16/2017
Last Update Date	:	05/16/2017

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