Organization
ROOSEVELET PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMRO BARAKAT (PT)
(631) 318-3148
Entity
Organization
Contact information
Practice address
591 W MERRICK RD, VALLEY STREAM, NY 11580-5119
(516) 206-0100
(516) 206-0101
Mailing address
121 WINHAM AVE, STATEN ISLAND, NY 10306-4930
(631) 318-3148
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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