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NPI Code Detail

MEDICARE: MBF REHAB PHYSICAL & OCCUPATIONAL THERAPY PLLC

MEDICARE: MBF REHAB PHYSICAL & OCCUPATIONAL THERAPY 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
1225100000XPhysical Therapist
2225X00000XOccupational Therapist
3261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1528223211
Entity Type Code : Organization
Provider Name (Legal Business Name) : MBF REHAB PHYSICAL & OCCUPATIONAL THERAPY PLLC
Provider Business Mailing Address
First Line : 4119 18TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11218
Country : US
Telephone Number : 718-975-3515
Fax Number : 718-975-3514
Provider Business Practice Location Address
First Line : 4119 18TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-5709
Country : US
Telephone Number : 718-975-3515
Fax Number : 718-975-3514
Authorized Official
Title or Position : OWNER
Name : MR. MICHAEL BARANOV
Credential : PT
Telephone Number : 718-975-3515
Provider Enumeration Date : 07/23/2008
Last Update Date : 02/10/2025

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