MEDICARE: DR. GAIL L KING PT, 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	007485	NY

General Provider Information

NPI Number	:	1447211685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GAIL L KING PT, DPT

Provider Business Mailing Address
First Line	:	444 E 84TH ST APT 2F
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-6240
Country	:	US
Telephone Number	:	646-867-1474
Fax Number	:	866-748-5034

Provider Business Practice Location Address
First Line	:	444 E 84TH ST APT 2F
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-6240
Country	:	US
Telephone Number	:	646-867-1474
Fax Number	:	866-748-5034

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

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	11/18/2020

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