Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 039875 | NY |
NPI | 1699339671 |
---|---|
Provider Name | Mr. Umair Khalid |
First Address | Jersey City, NJ 07306-6906 |
Second Address | Jersey City, NJ 07306-6906 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2019 |
Last Update Date | 25/04/2019 |