Mizraim Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

032513 Issued in NY

Legal business name

MIZRAIM PHYSICAL THERAPY PC

Practice address

277B Burnside Ave
Lawrence, NY 11559-1144

Phone

(732) 586-6693

NPI assigned

Jun 24, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rimoun Hanna

Title

Ceo

Phone

(732) 586-6693

Specialties & licenses 1

Addresses

Tax ID family

Mizraim Physical Therapy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mizraim Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Lawrence, NY
  • NPI 1376835843
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1992091276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 ADAMS ST",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277B BURNSIDE AVE",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591144",
            "telephone_number": "732-586-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIZRAIM PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "RIMOUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-586-6693"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "032513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Saul Miller, DPM
• Sarah Miller, RDN
• Danil Mishiyev, DO
• Kelly Leshawn Mitchell, LPN
• Mizraim Physical Therapy PC
• Sharon Miriam Moerman
• Jeffrey Moskovic, DDS
• Harold Mostel, DDS
• John Edward Mulloon Jr., LCSW
• Amy Muskin Galan

• Physical Therapy Clinic/Center in Lawrence, NY
• Providers in Lawrence, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.