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NPI Code Detail

MEDICARE: FIT REHAB PHYSICAL THERAPY PC

MEDICARE: FIT REHAB 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 Therapist027596NY

General Provider Information

NPI Number : 1740579135
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIT REHAB PHYSICAL THERAPY PC
Provider Business Mailing Address
First Line : 143 BAY 25TH ST
Second Line : 1
City : BROOKLYN
State : NY
Zip : 11214-4842
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1763 ROCKAWAY PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-5037
Country : US
Telephone Number : 718-444-5993
Fax Number :
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : SAMEH ELIAS
Credential :
Telephone Number : 718-444-5993
Provider Enumeration Date : 04/06/2011
Last Update Date : 01/30/2024

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