MEDICARE: MRS. MICHELLE LYNN BIEBER MSPT

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	021320-1	NY

General Provider Information

NPI Number	:	1831309046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE LYNN BIEBER MSPT

Provider Business Mailing Address
First Line	:	3 EASTLAKE DR
Second Line	:
City	:	THIELLS
State	:	NY
Zip	:	10984-1309
Country	:	US
Telephone Number	:	845-429-6463
Fax Number	:

Provider Business Practice Location Address
First Line	:	3535 HILL BLVD STE P
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-1209
Country	:	US
Telephone Number	:	914-962-2728
Fax Number	:	914-962-1729

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

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	07/08/2007

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