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Organization
SUMMERFIELD PT PC
Active
Organization
SUMMERFIELD PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED SADEIA PT (PRESIDENT)
(917) 374-0504
Entity
Organization
Contact information
Practice address
43 SUMMERFIELD PL, STATEN ISLAND, NY 10303-2116
(917) 374-0504
Mailing address
43 SUMMERFIELD PL, STATEN ISLAND, NY 10303-2116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03285747
—
NY
Enumeration date
01/10/2023
Last updated
01/10/2023
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