Provider Demographics
NPI:1033588108
Name:ALFA REHAB PT, P.C.
Entity Type:Organization
Organization Name:ALFA REHAB PT, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPT/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ISLAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSHEBINI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:718-517-2244
Mailing Address - Street 1:225 BAY 44TH ST
Mailing Address - Street 2:APT1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-6706
Mailing Address - Country:US
Mailing Address - Phone:718-517-2244
Mailing Address - Fax:718-517-2242
Practice Address - Street 1:5321 FLATLANDS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-2322
Practice Address - Country:US
Practice Address - Phone:718-517-2244
Practice Address - Fax:718-517-2242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-18
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty