Mary Mewborn-Broadus in Cambria Heights - Kinesiotherapist

Mary Mewborn-Broadus - NPI 1538124011

Mary Mewborn-Broadus is a Kinesiotherapist in Cambria Heights, New York. Mary Mewborn-Broadus practices all healthcare services and medical treatments related to Kinesiotherapist. The NPI Number for Mary Mewborn-Broadus is 1538124011. The last update date is 2007-07-08.

Mary Mewborn-Broadus's current location address is 11456 212th St, Cambria Heights, New York. You can contact this provider via phone number 7185261000 and fax number 7182988531. The mailing address for Mary Mewborn-Broadus is 11456 212th St, Cambria Heights, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Mewborn-Broadus
Address 11456 212th St, Cambria Heights, New York
Phone Number 7185261000
Fax Number 7182988531
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1538124011
Provider Enumeration Date 2006-04-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11456 212th St
City Cambria Heights
State New York (NY)
Post Code 114111018
Phone Number 7185261000
Fax Number 7182988531

Provider's Primary Taxonomy Detail

Speciality Kinesiotherapist
Taxonomy 226300000X
Definition:
A provider trained and educated in the applied science of medically prescribed therapeutic exercise, education and adapted physical activities designed to improve the quality of line and health of adults and children by developing physical fitness, i

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FAQs about Mary Mewborn-Broadus

What is the unique 10-digit identification code issued to Mary Mewborn-Broadus by the Centers for Medicare & Medicaid Services?

The Mary Mewborn-Broadus has been assigned the NPI (National Provider Identifier) 1538124011 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Mary Mewborn-Broadus's facilities are situated?

The facilities of Mary Mewborn-Broadus are physically located at the following address: 11456 212Th St, Cambria Heights, NY, 114111018.

What is Mary Mewborn-Broadus's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mary Mewborn-Broadus is Kinesiotherapist, and the corresponding taxonomy classification code for this specialized field is 226300000X.

On what date did the Mary Mewborn-Broadus receive the assignment of its 1538124011 from the Centers for Medicare & Medicaid Services?

The Mary Mewborn-Broadus was issued its 1538124011 by the Centers for Medicare & Medicaid Services on 2006-04-19.

When was the information pertaining to Mary Mewborn-Broadus most recently updated or revised?

The details related to Mary Mewborn-Broadus, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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