Healthcare Provider Details

I. General information

NPI: 1295449049
Provider Name (Legal Business Name): PHYSICAL CARE PT PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2023
Last Update Date: 01/06/2023
Certification Date: 01/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10702R JAMAICA AVE
RICHMOND HILL NY
11418-2239
US

IV. Provider business mailing address

10702R JAMAICA AVE
RICHMOND HILL NY
11418-2239
US

V. Phone/Fax

Practice location:
  • Phone: 718-395-2727
  • Fax: 347-829-3888
Mailing address:
  • Phone: 718-395-2727
  • Fax: 347-829-3888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LAMIS YAHIA ABDELMAGEED
Title or Position: OWNER
Credential: PT
Phone: 347-525-0217