Easy Care Pt Pc | |
12616 101st Ave South Richmond Hill NY 11419-1506 | |
(201) 920-4076 | |
Not Available |
Full Name | Easy Care Pt Pc |
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Speciality | Clinic/Center |
Location | 12616 101st Ave, South Richmond Hill, New York |
Authorized Official Name and Position | Hazem Abdelhafez (PT) |
Authorized Official Contact | 2019204076 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Easy Care Pt Pc 12616 101st Ave South Richmond Hill NY 11419-1506 Ph: () - | Easy Care Pt Pc 12616 101st Ave South Richmond Hill NY 11419-1506 Ph: (201) 920-4076 |
NPI Number | 1194473546 |
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Provider Enumeration Date | 03/15/2022 |
Last Update Date | 03/15/2022 |
Medicare PECOS PAC ID | 6901291228 |
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Medicare Enrollment ID | O20220323000053 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194473546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Hazem Abdelhafez |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225655186 PECOS PAC ID: 0244650547 Enrollment ID: I20201026000216 |
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