SHADY KHAIRY ISKANDER YASSA

RIDGEWOOD, NY
NPI1669996385
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2017-08-03
Last Update Date2017-08-03
Business Address
SHADY KHAIRY ISKANDER YASSA
1829 PUTNAM AVE
RIDGEWOOD, NY 11385-4247
Phone number: 718-337-1100
Mailing Address
SHADY KHAIRY ISKANDER YASSA
224 BEACH 20TH ST LOWR LEVEL
FAR ROCKAWAY, NY 11691-3618
Phone number: 718-337-1100