Prime Leader Pt Pc

LBN: Prime Leader Pt Pc
Prime Leader Pt Pc is an health care organization with primary practice located at 139 N Central Ave , Valley Stream NY 11580-3856. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Prime Leader Pt Pc can be contacted via phone (516) 612-7288, or through Ghanem, Ahmed Mohammed Moamen via phone (516) 612-7288.

Contact Information

Primary practice address
139 N Central Ave Valley Stream NY 11580-3856
Phone: (516) 612-7288
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ghanem, Ahmed Mohammed Moamen DPT
Phone: (516) 612-7288

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 35568 New York

Profile Details

NPI number 1568853786
LBN Legal business name Prime Leader Pt Pc
DBA Doing business as
Authorized official Ghanem, Ahmed Mohammed Moamen DPT
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2015
Last updated Feb 10th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568853786 NPPES
New York Other 35568 LICENSE

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