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Organization
LIFE QUALITY P.T P.C
Active
Organization
LIFE QUALITY P.T P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED FEKRY MAHMOUD DPT (OWNER/DIRECTOR)
(917) 573-4309
Entity
Organization
Contact information
Practice address
20408 ROCKAWAY POINT BLVD, BREEZY POINT, NY 11697-1116
(718) 634-7878
(718) 634-7879
Mailing address
20408 ROCKAWAY POINT BLVD, BREEZY POINT, NY 11697-1116
(718) 634-7878
(718) 634-7879
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
018417
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02638580
—
NY
01
—
092282
GHI HMO
NY
01
—
1000065520
AFFINITY
NY
01
—
10210162
AMERIGROUP
NY
01
—
6696905
GHI PPO
NY
01
—
MA8417
ATLANTIS/EASY CHOICE
NY
Enumeration date
03/23/2012
Last updated
01/19/2026
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