Provider Demographics
NPI:1871260653
Name:WAY TO REHAB PT PC
Entity Type:Organization
Organization Name:WAY TO REHAB PT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-618-7558
Mailing Address - Street 1:451 78TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-3414
Mailing Address - Country:US
Mailing Address - Phone:718-618-7558
Mailing Address - Fax:
Practice Address - Street 1:1767 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-4801
Practice Address - Country:US
Practice Address - Phone:718-618-7558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center