Individual
MOHANED GHANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
525 E 71ST ST, NEW YORK, NY 10021-4828
(919) 845-6160
Mailing address
525 E 71ST ST, NEW YORK, NY 10021-4828
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
044476
NY
Other
Enumeration date
05/16/2018
Last updated
04/13/2021
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