# SAFWA CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548764608
- **Authorized official:** DR. AHMED BEKHET PHYSICAL THERAPY (DOCTOR OF PHYSICAL THERAPY)
- **Authorized official phone:** (917) 664-4256

## Contact information

- **Practice address:** 119 ROME AVE, STATEN ISLAND, NY 10304-3148
- **Practice address phone:** (917) 664-4256
- **Practice address fax:** (347) 587-8215
- **Mailing address:** 119 ROME AVE, STATEN ISLAND, NY 10304-3148
- **Mailing address phone:** (917) 664-4256
- **Mailing address fax:** (347) 587-8215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 018234 | NY | Yes |

## Other

- **Enumeration date:** 03/22/2018
- **Last updated:** 03/22/2018
