Organization
MOON PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED AHMED (DIRECTOR)
(917) 957-2511
Entity
Organization
Contact information
Practice address
2032 W 5TH ST FL 1, BROOKLYN, NY 11223-3835
(917) 957-2511
Mailing address
2032 W 5TH ST FL 1, BROOKLYN, NY 11223-3835
(917) 957-2511
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
021340
NY
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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