Organization
UNIVERSAL PHYSICAL THERAPY,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAMDOUH M ELDEEB PT (PRESIDENT)
(718) 518-8040
Entity
Organization
Contact information
Practice address
3250 WESTCHESTER AVE, SUITE LL5, BRONX, NY 10461-4577
(718) 518-8040
(718) 518-8043
Mailing address
3250 WESTCHESTER AVE, SUITE LL5, BRONX, NY 10461-4577
(718) 518-8040
(718) 518-8043
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
011463-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02379546
—
NY
Enumeration date
02/21/2007
Last updated
08/22/2020
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