# METRO ATHLETIC MEDICINE&FITNESS PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** METRO SPORTS MED
- **Other names:** METRO SPORTSMED
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134372766
- **Legal business name:** METRO SPORTS MED
- **Authorized official:** EUDELL HAYES (MANAGER)
- **Authorized official phone:** (718) 369-8000

## Contact information

- **Practice address:** 4911 13TH AVE, BROOKLYN, NY 11219-3135
- **Practice address phone:** (718) 431-0073
- **Practice address fax:** (718) 431-0099
- **Mailing address:** 263 7TH AVE, SUITE 2A, BROOKLYN, NY 11215-3689
- **Mailing address phone:** (718) 369-8000
- **Mailing address fax:** (718) 679-9341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 10/28/2008
- **Last updated:** 09/11/2009