Provider Demographics
NPI:1790552347
Name:IN SYNC PT PC
Entity Type:Organization
Organization Name:IN SYNC PT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GROUP OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ELAGATY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:551-216-3148
Mailing Address - Street 1:1565 W 11TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-6245
Mailing Address - Country:US
Mailing Address - Phone:551-216-3148
Mailing Address - Fax:
Practice Address - Street 1:55 W 39TH ST RM 606
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-3982
Practice Address - Country:US
Practice Address - Phone:551-216-3148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty