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General NPI Number Information
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NPI Number | 1073889010
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Entity Type | Organization
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Legal Business Name | LIFE QUALITY P.T P.C
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Dates
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Enumeration Date | 03/23/2012
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 20408 ROCKAWAY POINT BLVD
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City | BREEZY POINT
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State | NY
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Zip | 11697-1116
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Country | US
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Telephone | 718-634-7878
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Fax | 718-634-7879
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Provider Business Mailing Address
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Address Line | 20408 ROCKAWAY POINT BLVD
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City | BREEZY POINT
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State | NY
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Zip | 11697-1116
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Country | US
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Telephone | 718-634-7878
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Fax | 718-634-7879
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DR. AHMED FEKRY MAHMOUD
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Credential | DPT
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Telephone | 917-573-4309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 018417
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License Number State | NY
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