Organization
MIZRAIM PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIMOUN HANNA (CEO)
(732) 586-6693
Entity
Organization
Contact information
Practice address
277B BURNSIDE AVE, LAWRENCE, NY 11559-1144
(732) 586-6693
Mailing address
263 ADAMS ST, PISCATAWAY, NJ 08854-3135
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
032513
NY
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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