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NPI Code Detail

MEDICARE: SUNRISE REHAB PT PC

MEDICARE: SUNRISE 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
1225100000XPhysical Therapist031002NY

General Provider Information

NPI Number : 1710273172
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNRISE REHAB PT PC
Provider Business Mailing Address
First Line : 2038 CROPSEY AVE
Second Line : APT 2G
City : BROOKLYN
State : NY
Zip : 11214-6249
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2955 BRIGHTON 4TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-8533
Country : US
Telephone Number : 347-587-6410
Fax Number :
Authorized Official
Title or Position : OWNER
Name : HASEM A HUSSEIN
Credential : PT
Telephone Number : 347-579-4183
Provider Enumeration Date : 06/23/2011
Last Update Date : 06/23/2011

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Directions to “SUNRISE REHAB PT PC ” Practice Location

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