MEDICARE: MYCORE PHYSICAL THERAPY

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	:	1730047424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYCORE PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	1539 E 31ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3454
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1539 E 31ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3454
Country	:	US
Telephone Number	:	212-365-0635
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	DR. MICHELLE CIZMA-FRIDMAN
Credential	:	DPT
Telephone Number	:	212-365-0635

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “MYCORE PHYSICAL THERAPY ” Practice Location

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