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General NPI Number Information
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NPI Number | 1710332200
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Entity Type | Organization
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Legal Business Name | PEAK DYNAMICS PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 05/03/2016
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Last Update Date | 08/07/2020
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Provider Practice Location Address
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Address Line | 369 LEXINGTON AVE RM 12B
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City | NEW YORK
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State | NY
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Zip | 10017-6527
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Country | US
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Telephone | 929-444-5178
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Fax |
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Provider Business Mailing Address
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Address Line | 76 70TH ST FL 2
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City | BROOKLYN
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State | NY
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Zip | 11209-1114
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Country | US
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Telephone | 929-444-5178
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AHMED NADY MOHAMED
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Credential | DPT
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Telephone | 929-444-5178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 034973-1
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License Number State | NY
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