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Organization

SAINT MARY PHYSICAL THERAPY P.C.

Active
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Organization

SAINT MARY PHYSICAL THERAPY P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. USAMA ABDUL-SAYED HANNA JR. P.T. (PHYSICAL THERAPIST)
(917) 545-9249
Entity
Organization

Contact information

Practice address
2071 CLOVE RD, STATEN ISLAND, NY 10304-1671
(917) 545-9249
Mailing address
2071 CLOVE RD, STATEN ISLAND, NY 10304-1671
(917) 545-9249

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
025663
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
025663
PHYSICAL THERAPIST
NY
Enumeration date
07/10/2006
Last updated
06/18/2008
About Stedi
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  • EDI platform