Baby's Bloom Rehab 1 Pt. Pc. | |
6903 4th Ave, First Floor, Brooklyn, NY 11209-1509 | |
(718) 745-7200 | |
(718) 745-1877 |
Full Name | Baby's Bloom Rehab 1 Pt. Pc. |
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Type | Facility |
Speciality | Physical Therapist |
Location | 6903 4th Ave, Brooklyn, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780835173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
261QP2000X | Clinic/center - Physical Therapy | 018836 (New York) | Secondary |
Provider Name | Gamal Ismail Mousa |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124004833 PECOS PAC ID: 8921066721 Enrollment ID: I20041227000622 |
Provider Name | Walaa F Hasabelnaby |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881971257 PECOS PAC ID: 5294901153 Enrollment ID: I20111228000082 |
Mailing Address | Practice Location Address |
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Baby's Bloom Rehab 1 Pt. Pc. 6903 4th Ave, First Floor, Brooklyn, NY 11209-1509 Ph: (718) 745-7200 | Baby's Bloom Rehab 1 Pt. Pc. 6903 4th Ave, First Floor, Brooklyn, NY 11209-1509 Ph: (718) 745-7200 |
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