Provider Demographics
NPI:1861634024
Name:HNS PHYSICAL THERAPY REHAB, P.C.
Entity Type:Organization
Organization Name:HNS PHYSICAL THERAPY REHAB, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HESHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-520-4762
Mailing Address - Street 1:9711 3RD AVE
Mailing Address - Street 2:TOP FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-7702
Mailing Address - Country:US
Mailing Address - Phone:917-520-4762
Mailing Address - Fax:347-312-2786
Practice Address - Street 1:9711 3RD AVE
Practice Address - Street 2:TOP FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-7702
Practice Address - Country:US
Practice Address - Phone:917-520-4762
Practice Address - Fax:347-312-2786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty