Individual
MR. ATEF ISMAIL MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2109 25TH RD, ASTORIA, NY 11102-3425
(917) 362-1130
Mailing address
2109 25TH RD, ASTORIA, NY 11102-3425
(917) 362-1130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0111471
NY
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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