Provider Demographics
NPI:1336763440
Name:SAFE REACH PT P.C.
Entity Type:Organization
Organization Name:SAFE REACH PT P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:WALEED
Authorized Official - Middle Name:YEHYA
Authorized Official - Last Name:EBRAHIM
Authorized Official - Suffix:SR
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:917-686-6437
Mailing Address - Street 1:331 BAY 14TH STREET
Mailing Address - Street 2:FL.#1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214
Mailing Address - Country:US
Mailing Address - Phone:917-686-6437
Mailing Address - Fax:718-872-7298
Practice Address - Street 1:331 BAY 14TH STREET
Practice Address - Street 2:FL.#1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214
Practice Address - Country:US
Practice Address - Phone:917-686-6437
Practice Address - Fax:718-872-7298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty