Most Relevant Information
Provider Data
| NPI Number: | 1003208182 |
| Provider Name: | SHADY AHMED PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/25/2015 |
| Last Updated: | 06/23/2020 |
Provider Practice Location
177 FORT WASHINGTON AVE
NEW YORK
NY
100323733
Practice Location Phone/Fax
| Phone: | 2123053280 |
| Fax: |
Provider Mailing Location
29 ROTUNDA LN
SOUTH RIVER
NJ
088822712
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |