Provider Demographics
NPI:1346597374
Name:WELFARE REHAB PT PC
Entity Type:Organization
Organization Name:WELFARE REHAB PT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NABIL
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABDEL-AAL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:347-692-5949
Mailing Address - Street 1:6802 RIDGE BLVD
Mailing Address - Street 2:APT# 4M
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-5829
Mailing Address - Country:US
Mailing Address - Phone:347-692-5949
Mailing Address - Fax:
Practice Address - Street 1:6802 RIDGE BLVD
Practice Address - Street 2:APT# 4M
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-5829
Practice Address - Country:US
Practice Address - Phone:347-692-5949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030625261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy