MEDICARE: ARKADIA PHYSICAL THERAPY AND REHABILITATION PC

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	320700000X	Physical Disabilities Residential Treatment Facility	023839-1	NY

General Provider Information

NPI Number	:	1952545121
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARKADIA PHYSICAL THERAPY AND REHABILITATION PC

Provider Business Mailing Address
First Line	:	2958 W 8TH ST
Second Line	:	#3M
City	:	BROOKLYN
State	:	NY
Zip	:	11224-3223
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2958 W 8TH ST
Second Line	:	#3M
City	:	BROOKLYN
State	:	NY
Zip	:	11224-3223
Country	:	US
Telephone Number	:	917-405-4830
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. VIKTORIA SIDLER
Credential	:
Telephone Number	:	917-405-4830

Provider Enumeration Date	:	04/30/2009
Last Update Date	:	04/30/2009

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