Hossam Siefallah Abbas Sr.
Individual provider Active NPI Physical Therapist · Woodside, NY
NPI 1255657276 · NPPES record last updated Nov 13, 2015
Key facts
- NPI
- 1255657276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 015774-1 (NY)
- Practice address
- 4730 59TH St
Apt. 4a
Woodside, NY 11377-5547 - Phone
- (347) 822-9557
- Fax
- (347) 848-0640
- NPI assigned
- Apr 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015774-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 015774-1 | NY | Yes |
Addresses
Primary practice location
4730 59TH St
Apt. 4a
Woodside, NY 11377-5547
Mailing address
4050 Nostrand Ave
Brooklyn, NY 11235-2234
Phone (718) 450-7070
Other providers in Woodside, NY
- A.R.C. Physical Therapy, PC
- Aac Physical Therapy PC
- Monica Abadir
- Abante Physical Therapy PC
- Eman H Abbas
- Syeda A Abbas
- Reilly Abbott
- Abc Behavior Change Incorporated
- Sohayla Abdelrahman
- Cresilda Tejano Abella
All providers in Woodside, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.