Organization
NANCY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AFDAL M ELREWENY DOCTOR OF PT (PRESIDENT)
(718) 415-0383
Entity
Organization
Contact information
Practice address
755 W FINGERBOARD RD, STATEN ISLAND, NY 10305-2628
(718) 415-0383
(718) 876-4986
Mailing address
755 W FINGERBOARD RD, STATEN ISLAND, NY 10305-2628
(718) 415-0383
(718) 876-4986
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
019765-1
NY
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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