Individual
AHMED SHAKSHOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
187 BEACH 114TH ST, ROCKAWAY PARK, NY 11694-2406
(516) 923-0184
Mailing address
187 BEACH 114TH ST, ROCKAWAY PARK, NY 11694-2406
(516) 923-0184
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
052722
NY
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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