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Organization
SIMPLE REHAB PT PC
Active
Organization
SIMPLE REHAB PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMOUD DAIF PT (PRESIDENT)
(347) 902-4699
Entity
Organization
Contact information
Practice address
169 BAY 37TH ST APT 3, BROOKLYN, NY 11214-5338
(347) 902-4699
Mailing address
169 BAY 37TH ST APT 3, BROOKLYN, NY 11214-5338
(347) 902-4699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
035442
NY
Other
Enumeration date
12/18/2016
Last updated
12/18/2016
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