Organization
AQUA PHYSICAL THERAPY P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAYOMY MOUSTAFA (DOCTOR)
(917) 886-7569
Entity
Organization
Contact information
Practice address
581 5TH AVE, BROOKLYN, NY 11215-8407
(718) 965-0555
(718) 965-0558
Mailing address
581 5TH AVE, BROOKLYN, NY 11215-8407
(718) 965-0555
(718) 965-0558
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2010
Last updated
03/29/2010
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