Individual
MR. FAHAD NAWAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2124 30TH AVE STE C1, ASTORIA, NY 11102-3491
(718) 545-0999
Mailing address
6419C 186TH LN APT 1C, FRESH MEADOWS, NY 11365-3622
(212) 518-4319
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
011206
NY
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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