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Organization
PARK SLOPE REHAB PHYSICAL THERAPY
Active
Organization
PARK SLOPE REHAB PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BAYOMY MOUSTAFA P.T. (PHYSICAL THERAPIST)
(718) 768-3349
Entity
Organization
Contact information
Practice address
557 5TH AVE, BROOKLYN, NY 11215-5431
(718) 768-3349
(718) 768-7269
Mailing address
6911 FORT HAMILTON PKWY, BROOKLYN, NY 11228-1101
(718) 630-1290
(718) 630-1291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
014080
NY
225100000X
Physical Therapist
Primary
014472
NY
225100000X
Physical Therapist
0148911
NY
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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