Provider Demographics
NPI:1144574146
Name:BASHIR, WAHEED (DPT)
Entity Type:Individual
Prefix:DR
First Name:WAHEED
Middle Name:
Last Name:BASHIR
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 1:385 STRATFORD RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-5311
Mailing Address - Country:US
Mailing Address - Phone:347-720-6354
Mailing Address - Fax:718-859-9553
Practice Address - Street 1:385 STRATFORD RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-5311
Practice Address - Country:US
Practice Address - Phone:347-720-6354
Practice Address - Fax:718-859-9553
Is Sole Proprietor?:No
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035465225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist