| Autonomy Diagnostics | |
|
350 91st St Ste 1a Brooklyn NY 11209-5853 | |
| (347) 279-2516 | |
| Not Available |
| Full Name | Autonomy Diagnostics |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 350 91st St Ste 1a, Brooklyn, New York |
| Authorized Official Name and Position | Beshoy Ghaly (PRESIDENT) |
| Authorized Official Contact | 3472792516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autonomy Diagnostics 10 Kathy Pl Apt 1b Staten Island NY 10314-5925 Ph: (347) 279-2516 | Autonomy Diagnostics 350 91st St Ste 1a Brooklyn NY 11209-5853 Ph: (347) 279-2516 |
| NPI Number | 1871058990 |
|---|---|
| Provider Enumeration Date | 02/02/2019 |
| Last Update Date | 02/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871058990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | () | Primary |
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