Organization
ESSENTIAL REHAB PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AHMED MAHMOUD ABDELHADY BACHLOR DEGREE (PHYSICAL THERAPIST)
(917) 816-7459
Entity
Organization
Contact information
Practice address
17 W END AVE, BROOKLYN, NY 11235-4812
(718) 484-8199
(718) 484-8197
Mailing address
46 CROFT PL, STATEN ISLAND, NY 10314-6508
(718) 442-5089
(718) 442-5089
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
030398
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03340907
—
NY
Enumeration date
12/21/2011
Last updated
12/21/2011
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