Provider Demographics
NPI:1225405889
Name:UNIQUE REHAB PT P.C.
Entity Type:Organization
Organization Name:UNIQUE REHAB PT P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ISLAM
Authorized Official - Middle Name:SHAFIK
Authorized Official - Last Name:ABDELATY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-806-3958
Mailing Address - Street 1:157 TOWN LINE RD
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-3915
Mailing Address - Country:US
Mailing Address - Phone:917-806-3958
Mailing Address - Fax:631-368-2512
Practice Address - Street 1:157 TOWN LINE RD
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-3915
Practice Address - Country:US
Practice Address - Phone:917-806-3958
Practice Address - Fax:631-368-2512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-29
Last Update Date:2015-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027020225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty