Individual
AHMED MOHAMMED MOAMEN GHANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
503 5TH AVE, BROOKLYN, NY 11215-4811
(718) 254-0182
Mailing address
8535 58TH AVE, ELMHURST, NY 11373-4811
(929) 333-0369
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
035568-1
NY
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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