MEDICARE: MRS. AILEEN BIKLES DPT, PT

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	0280111	NY

General Provider Information

NPI Number	:	1417287756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AILEEN BIKLES DPT, PT

Provider Business Mailing Address
First Line	:	520 FRANKLIN AVE STE L9
Second Line	:
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-5813
Country	:	US
Telephone Number	:	516-280-6600
Fax Number	:	616-280-6604

Provider Business Practice Location Address
First Line	:	LIBERTY REHABILITATION & WELLNESS
Second Line	:	520 FRANKLIN AVE STE L9
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-5813
Country	:	US
Telephone Number	:	516-280-6600
Fax Number	:	516-280-6604

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

Provider Enumeration Date	:	01/08/2010
Last Update Date	:	03/17/2018

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