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NPI Code Detail

MEDICARE: MR. ABDELRAHMAN GAMAL PT

MEDICARE:  MR. ABDELRAHMAN  GAMAL  PT
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 Therapist042685NY

General Provider Information

NPI Number : 1669114799
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ABDELRAHMAN GAMAL PT
Provider Business Mailing Address
First Line : 1959 79TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-1810
Country : US
Telephone Number : 718-506-6557
Fax Number :
Provider Business Practice Location Address
First Line : 1959 79TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-1810
Country : US
Telephone Number : 718-506-6557
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2022
Last Update Date : 04/09/2022

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Directions to “ MR. ABDELRAHMAN GAMAL PT” Practice Location

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