MEDICARE: MRS. DANA FRANKLIN MSPT

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	2251P0200X	Pediatric Physical Therapist	028176-1	NY
2	251300000X	Local Education Agency (LEA)	028176-1	NY

General Provider Information

NPI Number	:	1386880110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANA FRANKLIN MSPT

Provider Business Mailing Address
First Line	:	213 SHERMAN ST
Second Line	:
City	:	LYNBROOK
State	:	NY
Zip	:	11563-1439
Country	:	US
Telephone Number	:	516-837-9328
Fax Number	:

Provider Business Practice Location Address
First Line	:	67 NORTH CT
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-2110
Country	:	US
Telephone Number	:	516-625-6600
Fax Number	:

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

Provider Enumeration Date	:	12/29/2008
Last Update Date	:	01/03/2012

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