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1790501690
ISMAIL MOHAMED MOHAMED AWAD
ELMHURST, NY
NPI
1790501690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY P132327)
Enumeration Date
2024-11-25
Last Update Date
2024-11-25
Business Address
ISMAIL MOHAMED MOHAMED AWAD PT
8031 BROADWAY
ELMHURST, NY 11373-3160
Phone number: 929-919-6844
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Mailing Address
ISMAIL MOHAMED MOHAMED AWAD PT
8031 BROADWAY
ELMHURST, NY 11373-3160
Phone number: 929-919-6844
Copy
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