Provider Demographics
NPI:1386444792
Name:MADINA PHYSICAL THERAPY P.C
Entity type:Organization
Organization Name:MADINA PHYSICAL THERAPY P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:A PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DINA
Authorized Official - Middle Name:ABDELMONEM
Authorized Official - Last Name:ELSADR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-527-6585
Mailing Address - Street 1:623 90TH ST APT 3F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-3529
Mailing Address - Country:US
Mailing Address - Phone:929-527-6585
Mailing Address - Fax:
Practice Address - Street 1:839 57TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-6851
Practice Address - Country:US
Practice Address - Phone:718-438-1811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty