Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251G0304X | Physical Therapist - Geriatrics | 014926-1 | NY |
N | 2251P0200X | Physical Therapist - Pediatrics | 014926-1 | NY |
NPI | 1245289586 |
---|---|
Provider Name | Dr. Yosri Adly Gendi |
First Address | Marlboro, NJ 07746-2510 |
Second Address | Brooklyn, NY 11212-5643 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 08/07/2007 |