Organization
EMPIRE STATE REHAB PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED GHANEM PT (OWNER)
(347) 459-8493
Entity
Organization
Contact information
Practice address
2386 JEROME AVE FL 2, BRONX, NY 10468-6401
(347) 459-8493
Mailing address
412 PROSPECT AVE, DUMONT, NJ 07628-1404
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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