| Life Target Pt, P.c. | |
|
3741 77th St, Flushing, NY 11372-6629 | |
| (347) 401-8390 | |
| Not Available |
| Full Name | Life Target Pt, P.c. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3741 77th St, Flushing, 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 |
|---|---|---|---|
| 1831956762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Ahmed B Soliman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144862673 PECOS PAC ID: 1850765140 Enrollment ID: I20230329000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Life Target Pt, P.c. 3250 47th St, Astoria, NY 11103-1731 Ph: () - | Life Target Pt, P.c. 3741 77th St, Flushing, NY 11372-6629 Ph: (347) 401-8390 |
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