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Organization
NOURSEEN PT PC
Active
Organization
NOURSEEN PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMOUD DAIF DPT (OWNER)
(347) 902-4699
Entity
Organization
Contact information
Practice address
227 E 105TH ST, NEW YORK, NY 10029-4703
(347) 902-4699
Mailing address
227 E 105TH ST, NEW YORK, NY 10029-4703
(347) 902-4699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035442
LICENSE
NY
Enumeration date
08/30/2019
Last updated
08/30/2019
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