Individual
MR. ABDELRAHMAN MAHMOUD ELDEEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2052 RICHMOND RD, STATEN ISLAND, NY 10306-2583
(718) 667-2190
(718) 667-7279
Mailing address
360 NAUGHTON AVE, STATEN ISLAND, NY 10305-2227
(646) 944-0996
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
011976
NY
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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