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General NPI Number Information
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NPI Number | 1689946683
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Entity Type | Organization
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Legal Business Name | EZCARE PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 02/07/2012
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Last Update Date | 04/09/2023
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Provider Practice Location Address
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Address Line | 314 SEAVIEW AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10305-2246
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Country | US
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Telephone | 718-812-6764
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Fax | 718-448-3979
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Provider Business Mailing Address
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Address Line | 58 BELAIR LN
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City | STATEN ISLAND
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State | NY
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Zip | 10305-3067
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Country | US
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Telephone | 718-812-6764
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Fax | 718-448-3979
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | DR. ABDELRAHIM A. ABULMAGD
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Credential | PT, DPT
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Telephone | 718-812-6764
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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 | 018107
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License Number State | NY
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