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Organization
METRO ATHLETIC MEDICINE&FITNESS PC
Active
Organization
METRO ATHLETIC MEDICINE&FITNESS PC
Active
Parent organization
METRO SPORTS MED
Other names
METRO SPORTSMED
Organization subpart
Yes
Provider details
NPI number
Legal business name
METRO SPORTS MED
Authorized official
EUDELL HAYES (MANAGER)
(718) 369-8000
Entity
Organization
Contact information
Practice address
4911 13TH AVE, BROOKLYN, NY 11219-3135
(718) 431-0073
(718) 431-0099
Mailing address
263 7TH AVE, SUITE 2A, BROOKLYN, NY 11215-3689
(718) 369-8000
(718) 679-9341
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
10/28/2008
Last updated
09/11/2009
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