MEDICARE: PREFERRED PHYSICAL THERAPY OF NY, P.C

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	225100000X	Physical Therapist	021150	NY

General Provider Information

NPI Number	:	1730359324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED PHYSICAL THERAPY OF NY, P.C

Provider Business Mailing Address
First Line	:	151 BAY 28TH ST
Second Line	:	FIRST FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11214-5022
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	151 BAY 28TH ST
Second Line	:	FIRST FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11214-5022
Country	:	US
Telephone Number	:	718-996-5587
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TAREK ELSAYED
Credential	:
Telephone Number	:	718-996-5587

Provider Enumeration Date	:	03/10/2008
Last Update Date	:	03/10/2008

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Directions to “PREFERRED PHYSICAL THERAPY OF NY, P.C ” Practice Location

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