| Roosevelet PT PC | |
|
591 W Merrick Rd Valley Stream NY 11580-5119 | |
| (516) 206-0100 | |
| (516) 206-0101 |
| Full Name | Roosevelet PT PC |
|---|---|
| Speciality | Clinic/center |
| Location | 591 W Merrick Rd, Valley Stream, New York |
| Authorized Official Name and Position | Amro Barakat (PT) |
| Authorized Official Contact | 6313183148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roosevelet PT PC 121 Winham Ave Staten Island NY 10306-4930 Ph: (631) 318-3148 | Roosevelet PT PC 591 W Merrick Rd Valley Stream NY 11580-5119 Ph: (516) 206-0100 |
| NPI Number | 1215733829 |
|---|---|
| Provider Enumeration Date | 02/24/2025 |
| Last Update Date | 02/24/2025 |
| Certification Date | 02/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215733829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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