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NPI Code Detail

MEDICARE: VICTOR FAIK ATTIA GAD P.T., D.P.T.

MEDICARE: VICTOR FAIK ATTIA GAD P.T., D.P.T.
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 Therapist026764NY

General Provider Information

NPI Number : 1952540536
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTOR FAIK ATTIA GAD P.T., D.P.T.
Provider Business Mailing Address
First Line : 3 EAST DR
Second Line :
City : WOODBURY
State : NY
Zip : 11797-2102
Country : US
Telephone Number : 646-577-1054
Fax Number :
Provider Business Practice Location Address
First Line : 35 ROOSEVELT AVE
Second Line :
City : SYOSSET
State : NY
Zip : 11791-3061
Country : US
Telephone Number : 646-807-3422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2009
Last Update Date : 12/12/2014

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