Individual
DR. BISHOY MAXIMOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
47 BROOK AVE, STATEN ISLAND, NY 10306-4434
(646) 240-5299
Mailing address
47 BROOK AVE, STATEN ISLAND, NY 10306-4434
(646) 240-5299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044889
—
2251G0304X
Geriatric Physical Therapist
044889
NY
Other
Enumeration date
09/06/2019
Last updated
05/10/2023
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