Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 032040 | NY |
N | 2251N0400X | Physical Therapist - Neurology | 032040 | NY |
N | 2251P0200X | Physical Therapist - Pediatrics | 032040 | NY |
Y | 2251X0800X | Physical Therapist - Orthopedic | 032040 | NY |
NPI | 1265745236 |
---|---|
Provider Name | Dr. Wagdy William Mekhael |
First Address | Brooklyn, NY 11209-2701 |
Second Address | Brooklyn, NY 11209-2701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2010 |
Last Update Date | 11/09/2012 |