Organization
RICHMOND COUNTY PHYSICAL THERAPY P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED MOUSTAFA IBRAHIM DPT (OWNER)
(917) 302-8341
Entity
Organization
Contact information
Practice address
581 5TH AVE, BROOKLYN, NY 11215-8407
(718) 965-0555
Mailing address
6A MCDIVITT AVE, STATEN ISLAND, NY 10314-4962
(718) 965-0555
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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