Healthcare Provider Details

I. General information

NPI: 1295224186
Provider Name (Legal Business Name): ENJOY CARE PT PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2018
Last Update Date: 05/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 E 41ST ST FL 4
NEW YORK NY
10017-6280
US

IV. Provider business mailing address

21342 34TH RD APT 16
BAYSIDE NY
11361-1756
US

V. Phone/Fax

Practice location:
  • Phone: 347-543-7231
  • Fax: 847-886-7525
Mailing address:
  • Phone: 347-543-7231
  • Fax: 847-886-7525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number036003
License Number StateNY

VIII. Authorized Official

Name: AHMED ABDELDAYEM
Title or Position: PT
Credential: DPT
Phone: 347-543-7231