Individual
CHRISTOPHER MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
475 NORTHERN BLVD STE 11, GREAT NECK, NY 11021-4802
(516) 829-0030
(516) 466-7723
Mailing address
475 NORTHERN BLVD STE 27, GREAT NECK, NY 11021-4802
(516) 344-0023
(516) 466-7723
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
036114-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036114-1
LICENSE
NY
Enumeration date
05/02/2013
Last updated
10/10/2019
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