Individual
PEYAM NAIF MOHAMMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 NANTUCKET DR, ENDICOTT, NY 13760-2735
(607) 754-2705
Mailing address
4712 MARSHALL DR W, VESTAL, NY 13850-3930
(607) 744-9462
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
011342
NY
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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