MEDICARE: MICHAEL MCGEE

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	050012	NY

General Provider Information

NPI Number	:	1770280737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL MCGEE

Provider Business Mailing Address
First Line	:	102 MADISON AVE FL 8
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-7584
Country	:	US
Telephone Number	:	212-759-2282
Fax Number	:	212-379-2813

Provider Business Practice Location Address
First Line	:	2716 HYLAN BLVD STE 16
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306-4658
Country	:	US
Telephone Number	:	347-321-9174
Fax Number	:	212-404-1830

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

Provider Enumeration Date	:	02/10/2023
Last Update Date	:	09/30/2025

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