Organization
NEW YORK EMG PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HESHAM ELWAKIL DPT (CEO)
(347) 283-5068
Entity
Organization
Contact information
Practice address
11 RALPH PL, STATEN ISLAND, NY 10304-4401
(917) 930-2018
(917) 407-1996
Mailing address
205 MOSELY AVE, STATEN ISLAND, NY 10312-4165
(347) 283-5068
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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