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NPI Code Detail

MEDICARE: KINGS HIGHWAY PHYSICAL THERAPY PC

MEDICARE: KINGS HIGHWAY PHYSICAL THERAPY 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
1174400000XSpecialist018271NY

General Provider Information

NPI Number : 1538377700
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINGS HIGHWAY PHYSICAL THERAPY PC
Provider Business Mailing Address
First Line : 8217 7TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-2806
Country : US
Telephone Number : 917-805-5504
Fax Number :
Provider Business Practice Location Address
First Line : 446 MCDONALD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-2212
Country : US
Telephone Number : 718-972-4200
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : HATEM BEHIRY
Credential : DPT
Telephone Number : 718-369-2020
Provider Enumeration Date : 05/19/2007
Last Update Date : 11/18/2013

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Directions to “KINGS HIGHWAY PHYSICAL THERAPY PC ” Practice Location

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