# UNITED PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1720501174
- **Authorized official:** DR. OSAMA E OMRAN PT (PT, MS. DPT.)
- **Authorized official phone:** (646) 996-7095

## Contact information

- **Practice address:** 684 OCEAN TER, STATEN ISLAND, NY 10301-4538
- **Practice address phone:** (646) 996-7095
- **Practice address fax:** (800) 722-4260
- **Mailing address:** 684 OCEAN TER, STATEN ISLAND, NY 10301-4538
- **Mailing address phone:** (646) 996-7095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/18/2017
- **Last updated:** 07/18/2017