Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 015968 | NY |
NPI | 1003037664 |
---|---|
Provider Name | Hany Mekhael |
First Address | Brooklyn, NY 11204 |
Second Address | Brooklyn, NY 11204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 08/07/2007 |