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NPI Code Detail

MEDICARE: JANAA PHYSICAL THERAPY PC

MEDICARE: JANAA 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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1730436486
Entity Type Code : Organization
Provider Name (Legal Business Name) : JANAA PHYSICAL THERAPY PC
Provider Business Mailing Address
First Line : 225 BAY 44TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-6706
Country : US
Telephone Number : 347-679-0209
Fax Number : 347-702-4072
Provider Business Practice Location Address
First Line : 225 BAY 44TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-6706
Country : US
Telephone Number : 347-679-0209
Fax Number : 347-702-4072
Authorized Official
Title or Position : PRESIDENT
Name : MOHAMED HASSAN ALI ATTYA
Credential : PT, DPT
Telephone Number : 347-679-0209
Provider Enumeration Date : 08/13/2012
Last Update Date : 08/13/2012

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Directions to “JANAA PHYSICAL THERAPY PC ” Practice Location

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