Provider Demographics
NPI:1720734288
Name:FYZIO PT PLLC
Entity Type:Organization
Organization Name:FYZIO PT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELAAL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:833-444-4399
Mailing Address - Street 1:9433 5TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-7401
Mailing Address - Country:US
Mailing Address - Phone:833-444-4399
Mailing Address - Fax:347-772-3424
Practice Address - Street 1:9433 5TH AVENUE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-7401
Practice Address - Country:US
Practice Address - Phone:833-444-4399
Practice Address - Fax:347-772-3424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty