MEDICARE: HEALTH SOS PT 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	225X00000X	Occupational Therapist
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1407905458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH SOS PT PC

Provider Business Mailing Address
First Line	:	1255 5TH AVE
Second Line	:	SUITE 6L
City	:	NEW YORK
State	:	NY
Zip	:	10029-3852
Country	:	US
Telephone Number	:	914-400-1500
Fax Number	:	914-478-8781

Provider Business Practice Location Address
First Line	:	1255 5TH AVE APT 6L
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-3996
Country	:	US
Telephone Number	:	914-400-1500
Fax Number	:	914-478-8781

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SANDRA FOSCHI
Credential	:	MSPT
Telephone Number	:	917-669-1459

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	08/22/2024

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