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Organization
GENUINE REHAB PT PC
Active
Organization
GENUINE REHAB PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ABAZA PT (OWNER)
(631) 805-1269
Entity
Organization
Contact information
Practice address
1946 BATH AVE FL 2, BROOKLYN, NY 11214-4704
(631) 805-1269
Mailing address
1946 BATH AVE FL 2, BROOKLYN, NY 11214-4704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
037452
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037452
LICENSE
NY
Enumeration date
02/08/2018
Last updated
02/08/2018
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