Most Relevant Information
Provider Data
| NPI Number: | 1003344540 |
| Provider Name: | MOHAMED MANSOUR PHYSICAL THERAPIST |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 028159 |
Most Important Dates
| Enumeration Date: | 05/29/2017 |
| Last Updated: | 05/29/2017 |
Provider Practice Location
5 DAKOTA DR STE 200
NEW HYDE PARK
NY
110421109
Practice Location Phone/Fax
| Phone: | 7182818521 |
| Fax: |
Provider Mailing Location
19 BATTERY AVE
BROOKLYN
NY
112283501
Provider Mailing Phone/Fax
| Phone: | 6467504949 |
| Fax: |