Organization
PT SKILLED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAGDY AZIZ PT (PHYSICAL THERAPIST)
(917) 613-8368
Entity
Organization
Contact information
Practice address
30 ROOSEVELT AVE, STATEN ISLAND, NY 10314-4122
(917) 613-8368
Mailing address
30 ROOSEVELT AVE, STATEN ISLAND, NY 10314-4122
(917) 613-8368
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
019097-1
NY
Other
Enumeration date
11/24/2011
Last updated
11/24/2011
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