Provider Demographics
NPI:1346830056
Name:BROOKLYN CITY REHABILITATION PT PC
Entity Type:Organization
Organization Name:BROOKLYN CITY REHABILITATION PT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPT,MSC,PT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALHASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-644-9980
Mailing Address - Street 1:596 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-6308
Mailing Address - Country:US
Mailing Address - Phone:646-644-9980
Mailing Address - Fax:212-722-9223
Practice Address - Street 1:596 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-6308
Practice Address - Country:US
Practice Address - Phone:646-644-9980
Practice Address - Fax:212-722-9223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty