Tarek K Agag, PT, DPT
Physical Therapist in Great Neck, NY. Individual provider (NPI-1).
NPI number1073120952
StatusActive
Last updated in NPPESJan 13, 2021
Details
- NPI
- 1073120952
- Entity type
- Individual (NPI-1)
- Name
- Tarek K Agag
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 25, 2020
- Certification date
- Jan 13, 2021
- Last updated
- Jan 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 046284-01 | NY | Yes |
Practice location
475 Northern Blvd Ste 11Great Neck, NY 11021-4802
Phone 516-829-0030 · Fax 516-466-7723
Mailing address
475 Northern Blvd Ste 11Great Neck, NY 11021-4802
Phone 516-829-0030 · Fax 516-466-7723
Other practice locations
1034 N Broadway Ste 2
Yonkers, NY 10701-1329
Yonkers, NY 10701-1329
Phone 914-509-4640
309 Northwest Dr
Farmingdale, NY 11735-4935
Farmingdale, NY 11735-4935
Phone 516-420-2900 · Fax 516-420-2908
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