Healthcare Provider Details

I. General information

NPI: 1932004140
Provider Name (Legal Business Name): FLEXIBLE JOINTS PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

587 MIDLAND AVE
STATEN ISLAND NY
10306-5929
US

IV. Provider business mailing address

587 MIDLAND AVE
STATEN ISLAND NY
10306-5929
US

V. Phone/Fax

Practice location:
  • Phone: 917-951-7191
  • Fax:
Mailing address:
  • Phone: 917-951-7191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MAJED NEZAR ABUALOWN
Title or Position: OWNER/PROVIDER
Credential: PT
Phone: 917-951-7191