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Organization
VERRAZANO PHYSICAL THERAPY PC
Active
Organization
VERRAZANO PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAYOMY A MOUSTAFA P.T (DR.)
(718) 630-1290
Entity
Organization
Contact information
Practice address
6911 FORT HAMILTON PKWY, BROOKLYN, NY 11228-1101
(718) 630-1290
(718) 630-1291
Mailing address
6911 FORT HAMILTON PKWY, BROOKLYN, NY 11228-1101
(718) 630-1290
(718) 630-1291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0140801
NY
225100000X
Physical Therapist
0144721
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01743580
—
NY
05
—
02738636
—
NY
01
—
1528019197
PROVIDER NPI
NY
01
—
1851343016
PROVIDER NPI
NY
Enumeration date
05/14/2007
Last updated
06/15/2009
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