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Organization
REHABILITATION AND PHYSICAL THERAPY CONSULTANT PC
Active
Organization
REHABILITATION AND PHYSICAL THERAPY CONSULTANT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUOYO OKOME PH.D., P.T. (PRESIDENT AND CLINICAL DIRECTOR)
(347) 249-6501
Entity
Organization
Contact information
Practice address
1641 BERGEN ST, BROOKLYN, NY 11213-2416
(347) 249-6501
(718) 778-3083
Mailing address
724 E 18TH ST, SUITE B, BROOKLYN, NY 11230-1801
(347) 249-6501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8361-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038950103
HEALTHPLUS PROVIDERE #
NY
01
—
008361NY
1199SEIU PROVIDER ID #
NY
01
—
008361S
HEATHCARE PARTNERS PRVD #
NY
01
—
00869397-001
UNITED HEALTHCARE ID #
NY
01
—
1841263423
INDIVIDUAL NPI #
NY
01
—
2326173
AETNA PROVIDER ID #
NY
01
—
5714653
FIRST HEALTH INS PROV #
NY
01
—
6699117
GHI PROVIDER #
NY
01
—
77151
CAREPLUS PROVIDER ID #
NY
01
—
815353
ACN GROUP PROVIDER #
NY
01
—
AS 203
OXFORD PROVIDER ID #
NY
01
—
PRIS #20304P
HIP PROVIDER #
NY
Enumeration date
05/23/2007
Last updated
08/22/2020
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