Provider Demographics
NPI:1831950518
Name:PENN STATION PHYSICAL THERAPY AND CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:PENN STATION PHYSICAL THERAPY AND CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:NADY
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:212-502-1803
Mailing Address - Street 1:469 7TH AVE FL 6TH
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-7605
Mailing Address - Country:US
Mailing Address - Phone:212-502-1803
Mailing Address - Fax:212-643-0430
Practice Address - Street 1:469 7TH AVE FL 6TH
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-7605
Practice Address - Country:US
Practice Address - Phone:212-502-1803
Practice Address - Fax:212-643-0430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy