Provider Demographics
NPI:1134684376
Name:YOUSSEF, BISHOY WAGIH (DPT)
Entity Type:Individual
Prefix:
First Name:BISHOY
Middle Name:WAGIH
Last Name:YOUSSEF
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 FOREST CT
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-2502
Mailing Address - Country:US
Mailing Address - Phone:201-820-7920
Mailing Address - Fax:
Practice Address - Street 1:61 LAKEVIEW AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-4041
Practice Address - Country:US
Practice Address - Phone:973-772-8006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic