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Individual
TAREK K AGAG
Active
Individual
TAREK K AGAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
046284-01
NY
Other
Enumeration date
09/25/2020
Last updated
01/13/2021
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