Individual
ALI IBRAHIM ODEH HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
43 LOCKWOOD AVE APT 2, YONKERS, NY 10701-5749
(914) 916-2007
Mailing address
43 LOCKWOOD AVE APT 2, YONKERS, NY 10701-5749
(914) 916-2007
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014647-01
NY
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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