Provider Demographics
NPI:1235950114
Name:REHAB IN DOWNTOWN PT PC
Entity type:Organization
Organization Name:REHAB IN DOWNTOWN PT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDELRAHMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GAMAL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:718-506-6557
Mailing Address - Street 1:1917 85TH ST APT C2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-3132
Mailing Address - Country:US
Mailing Address - Phone:718-506-6557
Mailing Address - Fax:
Practice Address - Street 1:1917 85TH ST APT C2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-3132
Practice Address - Country:US
Practice Address - Phone:718-506-6557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty