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Organization
REHAB 4 SHABAB PTPC
Active
Organization
REHAB 4 SHABAB PTPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED KHAMISE PT, DPT (PRESIDENT)
(718) 614-5700
Entity
Organization
Contact information
Practice address
77 BELMONT AVE, BROOKLYN, NY 11212-6718
(202) 280-7019
(855) 790-3975
Mailing address
9480 RIDGE BLVD APT 2K, BROOKLYN, NY 11209-6751
(718) 748-6224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/20/2015
Last updated
10/14/2015
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