Individual
ASAAD NASR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4720 206TH ST, BAYSIDE, NY 11361-3145
(718) 225-7219
Mailing address
47-20, 206 STREET, BAYSIDE, NY 11361
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014872
NY
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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