Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 030640 | NY |
N | 2251C2600X | Cardiopulmonary | 030640 | NY |
N | 2251G0304X | Physical Therapist - Geriatrics | 030640 | NY |
N | 2251H1200X | Hand | 030640 | NY |
N | 2251N0400X | Physical Therapist - Neurology | 030640 | NY |
N | 2251P0200X | Physical Therapist - Pediatrics | 030640 | NY |
N | 2251X0800X | Physical Therapist - Orthopedic | 030640 | NY |
NPI | 1912210550 |
---|---|
Provider Name | Ms. Dalia Mekhael |
First Address | Staten Island, NY 10314-3323 |
Second Address | Brooklyn, NY 11235-5405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2010 |
Last Update Date | 09/03/2012 |