Provider Demographics
NPI:1295449049
Name:PHYSICAL CARE PT PC
Entity type:Organization
Organization Name:PHYSICAL CARE PT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAMIS
Authorized Official - Middle Name:YAHIA
Authorized Official - Last Name:ABDELMAGEED
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:347-525-0217
Mailing Address - Street 1:10702R JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-2239
Mailing Address - Country:US
Mailing Address - Phone:718-395-2727
Mailing Address - Fax:347-829-3888
Practice Address - Street 1:10702R JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-2239
Practice Address - Country:US
Practice Address - Phone:718-395-2727
Practice Address - Fax:347-829-3888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty