MEDICARE: MS. EILEEN TONRY MORRIS P.T.,MS

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	12694-1	NY

General Provider Information

NPI Number	:	1902050495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EILEEN TONRY MORRIS P.T.,MS

Provider Business Mailing Address
First Line	:	646 W CHESTER ST
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-1707
Country	:	US
Telephone Number	:	516-458-5766
Fax Number	:	516-897-7005

Provider Business Practice Location Address
First Line	:	646 W CHESTER ST
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-1707
Country	:	US
Telephone Number	:	516-458-5766
Fax Number	:	516-897-7005

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

Provider Enumeration Date	:	11/10/2008
Last Update Date	:	11/10/2008

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