MEDICARE: MS. VICTORIA LYNN KAIN 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	044526	NY

General Provider Information

NPI Number	:	1457908824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VICTORIA LYNN KAIN DPT

Provider Business Mailing Address
First Line	:	2781 SHELL RD STE 101
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-6142
Country	:	US
Telephone Number	:	718-648-1234
Fax Number	:

Provider Business Practice Location Address
First Line	:	2781 SHELL RD STE 101
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-6142
Country	:	US
Telephone Number	:	718-648-1234
Fax Number	:

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

Provider Enumeration Date	:	08/21/2019
Last Update Date	:	06/27/2025

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