MEDICARE: NYC CARE 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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1962287482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NYC CARE PT PC

Provider Business Mailing Address
First Line	:	121 WINHAM AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306-4930
Country	:	US
Telephone Number	:	347-302-6045
Fax Number	:

Provider Business Practice Location Address
First Line	:	144 E 98TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11212-3841
Country	:	US
Telephone Number	:	347-302-6045
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMRO BARAKAT
Credential	:
Telephone Number	:	347-302-6045

Provider Enumeration Date	:	08/31/2023
Last Update Date	:	08/31/2023

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Directions to “NYC CARE PT PC ” Practice Location

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