Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 038901 | NY |
NPI | 1023480290 |
---|---|
Provider Name | Osama Almanastirly |
First Address | Brooklyn, NY 11235-3937 |
Second Address | Elmhurst, NY 11373-4811 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2015 |
Last Update Date | 05/11/2020 |