Provider Demographics
NPI:1295338465
Name:BAY RIDGE MANUAL PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:BAY RIDGE MANUAL PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SABRI
Authorized Official - Middle Name:B
Authorized Official - Last Name:BAHLOOL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:347-462-0980
Mailing Address - Street 1:334 86TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-5002
Mailing Address - Country:US
Mailing Address - Phone:718-333-5275
Mailing Address - Fax:718-333-5278
Practice Address - Street 1:334 86TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5002
Practice Address - Country:US
Practice Address - Phone:718-333-5275
Practice Address - Fax:718-333-5278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-19
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty