NPI 1205613536

Physio Development PT PC

Organisation Rehabilitation Hospital Unit Baldwin, NY

Practice location

Address: 2270 Grand Ave, Baldwin, NY 11510-3163
Phone: (646) 384-3095
Mailing address: 165 Westwood Dr APT 180, Westbury, NY 11590-1628

Authorised official

Name: Mennatallah Ibrahim
Title: Owner
Phone: (646) 384-3095

Registered specialties

Rehabilitation Hospital Unit Primary

Hospital Units Taxonomy 273Y00000X

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Registry record

NPI: 1205613536
Entity type: Organization
NPI issued: 11 Sep 2023
Record last updated: 11 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.