Individual
AHMED KHAMISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
77 BELMONT AVE, BROOKLYN, NY 11212-6718
(718) 614-5700
Mailing address
9480 RIDGE BLVD, 2K, BROOKLYN, NY 11209-6754
(718) 614-5700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015901
LICENSE
NY
Enumeration date
06/19/2008
Last updated
05/24/2016
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