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Organization
MITU PHYSICAL THERAPY PC
Active
Organization
MITU PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAGAH ALAIDY RPT (RPT)
(718) 205-7710
Entity
Organization
Contact information
Practice address
421 78TH ST STE C, BROOKLYN, NY 11209-3447
(718) 205-7710
Mailing address
3728 75TH ST LOWR LEVEL, JACKSON HEIGHTS, NY 11372-6426
(718) 205-7710
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0184751
NY
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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