Physico-Connect Pt PC
Physical Medicine & Rehabilitation in Blauvelt, NY. Organization (NPI-2).
NPI number1336831700
StatusActive
Last updated in NPPESMay 24, 2023
Details
- NPI
- 1336831700
- Entity type
- Organization (NPI-2)
- Legal business name
- Physico-Connect Pt PC
- Organization subpart
- No
- Enumeration date
- May 24, 2023
- Certification date
- May 24, 2023
- Last updated
- May 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
189 Burrows LnBlauvelt, NY 10913-1307
Phone 646-944-3923
Mailing address
189 Burrows LnBlauvelt, NY 10913-1307
Phone 646-944-3923
Authorized official
Ahmed Hassanein
Credentialing
6469443923
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