Myocare Pt P.c.

NPI #1003341694 in Staten Island, New York

Provider Information

NPI Number: 1003341694
Entity Type: Organization
Organization Name: Myocare Pt P.c.
Primary Specialty: Physical Therapist
Enumeration Date: Apr 21, 2017
Last Updated: Sep 19, 2023

Practice Location

Address: 87 ATLANTIC AVE
City: Staten Island
State: New York
ZIP Code: 10304-4002
Phone: (929) 485-6000

Authorized Official

Name: DR. HAITHAM SALLAM
Title: DPT
Phone: (929) 485-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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