Organization
COMMUNITY PHYSICAL THERAPY REHAB PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED S AHMED DPT (DPT PT OWNER)
(718) 337-7878
Entity
Organization
Contact information
Practice address
265 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3625
(718) 337-7878
Mailing address
265 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3625
(718) 337-7878
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018065
LICENSE
NY
Enumeration date
09/30/2019
Last updated
09/30/2019
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