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NPI Code Detail

MEDICARE: NEW YORK PHYSICAL THERAPY CARE PC

MEDICARE: NEW YORK PHYSICAL THERAPY CARE PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1265072631
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW YORK PHYSICAL THERAPY CARE PC
Provider Business Mailing Address
First Line : 96 28TH AVE APT 3
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-7064
Country : US
Telephone Number : 718-566-0022
Fax Number : 718-566-0026
Provider Business Practice Location Address
First Line : 1611 E NEW YORK AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-6860
Country : US
Telephone Number : 718-566-0022
Fax Number : 718-566-0026
Authorized Official
Title or Position : PT
Name : ADAM RIZK
Credential : PT
Telephone Number : 407-848-9693
Provider Enumeration Date : 01/13/2020
Last Update Date : 01/13/2020

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Directions to “NEW YORK PHYSICAL THERAPY CARE PC ” Practice Location

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