Organization
RADWA PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED M ELMANDOUH (PT, DPT)
(917) 755-6680
Entity
Organization
Contact information
Practice address
430 79TH ST, BROOKLYN, NY 11209-3708
(718) 748-6644
(646) 217-4028
Mailing address
230 BAY 22ND ST, 2ND FL, BROOKLYN, NY 11214-6106
(917) 755-6680
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
030595
NY
Other
Enumeration date
06/17/2011
Last updated
12/05/2011
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