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NPI Code Detail

MEDICARE: EXPRESS REHAB CARE PT,PC

MEDICARE: EXPRESS REHAB CARE 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
1174400000XSpecialist018447NY
2174400000XSpecialist013410NY

General Provider Information

NPI Number : 1548501943
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXPRESS REHAB CARE PT,PC
Provider Business Mailing Address
First Line : 372 AVENUE U
Second Line : SUITE LL3
City : BROOKLYN
State : NY
Zip : 11223-4018
Country : US
Telephone Number : 718-372-1690
Fax Number : 718-372-1691
Provider Business Practice Location Address
First Line : 372 AVENUE U
Second Line : SUITE LL3
City : BROOKLYN
State : NY
Zip : 11223-4018
Country : US
Telephone Number : 718-372-1690
Fax Number : 718-372-1691
Authorized Official
Title or Position : PT,DPT
Name : MR. AYMAN HASSAN ELKHOULY
Credential : PT,DPT
Telephone Number : 718-709-6442
Provider Enumeration Date : 03/09/2013
Last Update Date : 04/13/2015

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Directions to “EXPRESS REHAB CARE PT,PC ” Practice Location

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