Provider Demographics
NPI:1295002566
Name:ELREFAEI, EMADELDIN HASHEM (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:EMADELDIN
Middle Name:HASHEM
Last Name:ELREFAEI
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 BAY 20TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-3801
Mailing Address - Country:US
Mailing Address - Phone:646-269-7537
Mailing Address - Fax:
Practice Address - Street 1:17 BAY 20TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-3801
Practice Address - Country:US
Practice Address - Phone:646-269-7537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028247-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist