MEDICARE: NERMINE SAFWAT BEKHIT SHENODA P.T.

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	039018-1	NY

General Provider Information

NPI Number	:	1801339015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NERMINE SAFWAT BEKHIT SHENODA P.T.

Provider Business Mailing Address
First Line	:	1908 AVENUE K
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-4904
Country	:	US
Telephone Number	:	718-859-6786
Fax Number	:	718-859-6783

Provider Business Practice Location Address
First Line	:	1908 AVENUE K
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-4904
Country	:	US
Telephone Number	:	718-859-6786
Fax Number	:	718-859-6783

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

Provider Enumeration Date	:	11/21/2016
Last Update Date	:	11/21/2016

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