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Yasmin Rehab Pt Pc

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

40 Getz Ave, Staten Island, NY 10312-2176

PECOS Enrollment

Based on the most recent information from CMS, provider Yasmin Rehab Pt Pc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1710523485
Provider Type
Organization
Full Name
Yasmin Rehab Pt Pc

Subpart
No
Enumeration Date
11/18/2019
Last Updated
11/18/2019

Contact Information

Practice Location

40 Getz Ave, Staten Island, NY 10312-2176

(917) 330-7274

Unlisted Fax

Mailing Location

40 Getz Ave, Staten Island, NY 10312-2176

(917) 330-7274

Unlisted Fax

Authorized Official

Abdelmoamen, Ahmed (President)

(917) 330-7274

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License Unlisted Issuer

Yasmin Rehab Pt Pc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

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