MEDICARE: MRS. EMMYLOU BRIONES CUEVAS 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	025549	NY

General Provider Information

NPI Number	:	1841403938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EMMYLOU BRIONES CUEVAS P.T.

Provider Business Mailing Address
First Line	:	2128 HAIGHT AVENUE
Second Line	:	APT. 2
City	:	BRONX
State	:	NY
Zip	:	10461
Country	:	US
Telephone Number	:	646-267-7598
Fax Number	:	718-944-6266

Provider Business Practice Location Address
First Line	:	150-12
Second Line	:	14TH AVENUE
City	:	WHITESTONE
State	:	NY
Zip	:	11357
Country	:	US
Telephone Number	:	718-746-8757
Fax Number	:	718-746-3069

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

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	05/14/2025

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