Provider Demographics
NPI:1659141992
Name:A ABDRABOU REHAB PT PC
Entity Type:Organization
Organization Name:A ABDRABOU REHAB PT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GROUP OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDRABOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-406-4611
Mailing Address - Street 1:1000 RIVERTON ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-2256
Mailing Address - Country:US
Mailing Address - Phone:929-406-4611
Mailing Address - Fax:718-215-9922
Practice Address - Street 1:111 BAY 50TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-6928
Practice Address - Country:US
Practice Address - Phone:929-406-4611
Practice Address - Fax:718-215-9922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty