Individual
MR. AMGED BAHLOUL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
23 BELAIR LN, STATEN ISLAND, NY 10305-3066
(917) 696-0679
(718) 442-2688
Mailing address
23 BELAIR LN, STATEN ISLAND, NY 10305-3066
(917) 696-0679
(718) 442-2688
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017131-1
NY
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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