Individual
KHALED HOUSSEIN ELEESILY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
578 FORT HILL PL, 3, BROOKLYN, NY 11228-3608
(718) 926-3344
Mailing address
424 FINGERBOARD RD, STATEN ISLAND, NY 10305-3744
(718) 926-3344
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
014768-01
NY
Other
Enumeration date
10/30/2007
Last updated
03/04/2020
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