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General NPI Number Information
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NPI Number | 1932432606
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Entity Type | Organization
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Legal Business Name | HEALTH CARE PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 09/14/2009
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 380 88TH ST
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City | BROOKLYN
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State | NY
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Zip | 11209-5665
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Country | US
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Telephone | 718-748-5482
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Fax |
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Provider Business Mailing Address
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Address Line | 8415 10TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11228-3201
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Country | US
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Telephone | 718-238-0316
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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. MAHMOUD I IBRAHIM
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Credential | MSC, DSC, PHD, PT
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Telephone | 718-238-0316
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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 | 017978
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License Number State | NY
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