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Organization
DIRECT PT CARE PC
Active
Organization
DIRECT PT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESSAM S MOSTAFA (PRESIDENT)
(718) 440-1005
Entity
Organization
Contact information
Practice address
2390 MCDONALD AVE, BROOKLYN, NY 11223-4740
(718) 449-1005
(718) 449-1131
Mailing address
2390 MCDONALD AVE, BROOKLYN, NY 11223-4740
(718) 449-1005
(718) 449-1131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
032176
NY
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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