MEDICARE: ONE TOUCH PHYSICAL THERAPY P.C.

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	208100000X	Physical Medicine & Rehabilitation Physician	016113	NY

General Provider Information

NPI Number	:	1497023683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE TOUCH PHYSICAL THERAPY P.C.

Provider Business Mailing Address
First Line	:	2421 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4905
Country	:	US
Telephone Number	:	718-616-1966
Fax Number	:

Provider Business Practice Location Address
First Line	:	2421 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4905
Country	:	US
Telephone Number	:	718-616-1966
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. MAGDY TANTAWY
Credential	:	PT
Telephone Number	:	718-616-1966

Provider Enumeration Date	:	12/02/2011
Last Update Date	:	07/31/2012

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