| Shore Parkway Pt Pc | |
|
2612 W 2nd St Apt 3b, Brooklyn, NY 11223-6316 | |
| (929) 370-4205 | |
| Not Available |
| Full Name | Shore Parkway Pt Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2612 W 2nd St Apt 3b, 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 |
|---|---|---|---|
| 1003697475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Ahmed Khaled Mahrous |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871063669 PECOS PAC ID: 4587062658 Enrollment ID: I20211005001381 |
| Mailing Address | Practice Location Address |
|---|---|
| Shore Parkway Pt Pc 2612 W 2nd St Apt 3b, Brooklyn, NY 11223-6316 Ph: () - | Shore Parkway Pt Pc 2612 W 2nd St Apt 3b, Brooklyn, NY 11223-6316 Ph: (929) 370-4205 |
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