Individual
MAGDY AZIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
30 ROOSEVELT AVE, STATEN ISLAND, NY 10314-4122
(917) 613-8368
(718) 761-6055
Mailing address
30 ROOSEVELT AVE, STATEN ISLAND, NY 10314-4122
(917) 613-8368
(718) 761-6055
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
019097-1
NY
2251P0200X
Pediatric Physical Therapist
Primary
019097-1
NY
Other
Enumeration date
10/04/2008
Last updated
11/13/2008
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