Triboro Care PT PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

027797 Issued in NY

Legal business name

TRIBORO CARE PT PC

Practice address

13302 41St Ave
Flushing, NY 11355-5848

Phone

(718) 886-1150

Fax

(718) 886-1185

NPI assigned

Mar 20, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

George Fawzi Tawdros, PT

Title

Owner

Phone

(718) 886-1150

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Triboro Care PT PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Triboro Care PT PC

  • Specialist
  • Brooklyn, NY
  • NPI 1821267535
  NPD tax ID
• Triboro Care PT PC

  • Specialist
  • Flushing, NY
  • NPI 1871764118
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206230400000",
    "number": "1669643359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SHERIDAN BLVD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013220",
            "telephone_number": "718-886-1150",
            "fax_number": "718-886-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13302 41ST AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555848",
            "telephone_number": "718-886-1150",
            "fax_number": "718-886-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBORO CARE PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-23",
        "status": "A",
        "authorized_official_last_name": "TAWDROS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "FAWZI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-886-1150",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "027797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02887823",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "WYP1P1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Batsheva Leba Tratner
• Cynthia A Treiber, MD
• Lisa Tretola-Blanco
• Tri-Star Cdpa Service, Inc
• Tri-Star Physician, LLC
• Triboro Care PT PC
• Irina Gennadyevna Trifonova, MD
• Jose Boris Vicente Trigueros Montes, MD
• Trinity Medical Healthcare PC
• Trinity Medicine PC

• Specialist in Flushing, NY
• Providers in Flushing, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.