OrganizationGreenridge Physical Therapy PcPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3247 Richmond Ave, Staten Island, NY 10312-2123(718) 663-2252(646) 750-4949PECOS EnrollmentBased on the most recent information from CMS, provider Greenridge Physical Therapy Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 33 days ago.Profile DetailsProvider ID1699532226Provider TypeOrganizationFull NameGreenridge Physical Therapy PcSubpartNoEnumeration Date2/29/2024Last Updated4/11/2024Contact InformationPractice LocationPractice Address3247 Richmond Ave, Staten Island, NY 10312-2123Phone(718) 663-2252FaxUnlisted FaxMailing LocationMailing Address3247 Richmond Ave, Staten Island, NY 10312-2123Phone(646) 750-4949FaxUnlisted FaxAuthorized OfficialNameMohamed, Yehia Abouelyousr (Co-Owner/Ceo)Phone(718) 285-2706Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer