Organization
CREATIVE CARE PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMGAD SALIB MIKHAIL (PT)
(718) 496-2726
Entity
Organization
Contact information
Practice address
11404 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11694-2211
(718) 945-6100
Mailing address
8800 20TH AVE, APARTMENT 3M, BROOKLYN, NY 11214-4849
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028129
MT
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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