MEDICARE: VISION REHAB PT, 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
1	261QP2000X	Physical Therapy Clinic/Center	029267	NY

General Provider Information

NPI Number	:	1346568417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISION REHAB PT, PC

Provider Business Mailing Address
First Line	:	2049 70TH ST FL 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-5402
Country	:	US
Telephone Number	:	347-695-6932
Fax Number	:

Provider Business Practice Location Address
First Line	:	2639 ATLANTIC AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-2407
Country	:	US
Telephone Number	:	718-485-3333
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MAHMOUD EL SAYED
Credential	:	DPT
Telephone Number	:	347-695-6932

Provider Enumeration Date	:	05/13/2010
Last Update Date	:	05/13/2010

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