Individual
ASIM IFTIKHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2015 LINDEN BLVD, ELMONT, NY 11003-4000
(516) 789-6322
Mailing address
69 NOTTINGHAM AVE, VALLEY STREAM, NY 11580-3028
(516) 789-6322
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
050621-01
NY
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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