Provider Demographics
NPI:1235827270
Name:AHMAD, AMMAR (DPT)
Entity Type:Individual
Prefix:
First Name:AMMAR
Middle Name:
Last Name:AHMAD
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 1:6 SEAN MICHAEL CT
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-2124
Mailing Address - Country:US
Mailing Address - Phone:443-678-9671
Mailing Address - Fax:
Practice Address - Street 1:6 SEAN MICHAEL CT
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-2124
Practice Address - Country:US
Practice Address - Phone:443-678-9671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049355225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist