Provider Demographics
NPI:1588094031
Name:ALL ABOUT PHYSICAL THERAPY P C
Entity type:Organization
Organization Name:ALL ABOUT PHYSICAL THERAPY P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDELHAMID
Authorized Official - Middle Name:MAHMOUD
Authorized Official - Last Name:ABOURYA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-669-6496
Mailing Address - Street 1:6318 AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2923
Mailing Address - Country:US
Mailing Address - Phone:917-669-6496
Mailing Address - Fax:
Practice Address - Street 1:6318 AUSTIN ST
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2923
Practice Address - Country:US
Practice Address - Phone:917-669-6496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-20
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023492225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty