Individual
AMIRA ISMAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
280 W 231ST ST, BRONX, NY 10463-3940
(718) 514-6120
Mailing address
189 BAY 41ST ST, BROOKLYN, NY 11214-5412
(917) 460-5962
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
041429
NY
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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