Organization
ELSANAA PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMOUD ELSANAA DPT (PRESIDENT)
(929) 253-2364
Entity
Organization
Contact information
Practice address
8609 51ST AVE, ELMHURST, NY 11373-3923
(718) 760-8881
(718) 760-8880
Mailing address
28 LAKE DR W, WAYNE, NJ 07470-5733
(718) 760-8881
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
038838
NY
Other
Enumeration date
04/20/2016
Last updated
11/27/2019
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