Healthcare Provider Details
I. General information
NPI: 1699687889
Provider Name (Legal Business Name): M.K. PHYSICAL THERAPY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
154 W 27TH ST RM 2E
NEW YORK NY
10001-6223
US
IV. Provider business mailing address
154 W 27TH ST RM 2E
NEW YORK NY
10001-6223
US
V. Phone/Fax
- Phone: 917-478-3936
- Fax:
- Phone: 917-478-3936
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MORLAY
KAMARA
Title or Position: PRESIDENT
Credential: PT, DPT
Phone: 917-478-3936