Organization
AH PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHRAF HASAN HAFEZ PRESIDENT (PT)
(718) 998-3020
Entity
Organization
Contact information
Practice address
9805 FOSTER AVE, BROOKLYN, NY 11236
(347) 915-0455
(349) 157-0457
Mailing address
9805 FOSTER AVE, BROOKLYN, NY 11236
(347) 915-0455
(349) 157-0457
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015680
LICENSE
NY
Enumeration date
01/26/2012
Last updated
01/26/2012
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