Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | ||
N | 225100000X | Physical Therapist | 037490-1 | NY |
Y | 2251E1300X | Electrophysiology, Clinical | ||
N | 2251H1200X | Hand | ||
N | 2251X0800X | Physical Therapist - Orthopedic |
NPI | 1811315955 |
---|---|
Provider Name | Beshoy Ghaly |
First Address | Staten Island, NY 10314-5925 |
Second Address | Brooklyn, NY 11223-4201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2014 |
Last Update Date | 02/02/2019 |