MEDICARE: SHARMA REHABILITATION SERVICES PLLC

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	:	1447744586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARMA REHABILITATION SERVICES PLLC

Provider Business Mailing Address
First Line	:	8627 77TH AVE
Second Line	:
City	:	GLENDALE
State	:	NY
Zip	:	11385-7710
Country	:	US
Telephone Number	:	718-878-0008
Fax Number	:

Provider Business Practice Location Address
First Line	:	8727 MYRTLE AVE
Second Line	:
City	:	GLENDALE
State	:	NY
Zip	:	11385-7847
Country	:	US
Telephone Number	:	718-878-0008
Fax Number	:	718-425-9757

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	BINDU SHARMA
Credential	:	PT
Telephone Number	:	718-878-0008

Provider Enumeration Date	:	06/21/2018
Last Update Date	:	01/04/2021

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