Provider Demographics
NPI:1598428526
Name:HOME HEALTH PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:HOME HEALTH PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ELSAYED
Authorized Official - Middle Name:ABDELHADY
Authorized Official - Last Name:ABDELHADY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:631-829-2524
Mailing Address - Street 1:515 OVINGTON AVE APT 5L
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-1755
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:314 52ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-2984
Practice Address - Country:US
Practice Address - Phone:718-254-0101
Practice Address - Fax:718-439-0165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-17
Last Update Date:2021-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy