Provider Demographics
NPI:1609323989
Name:ELKAFRAWI, JASMINE (PT)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:ELKAFRAWI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-2934
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:233 BROADWAY
Practice Address - Street 2:SUITE 2060
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10279-0001
Practice Address - Country:US
Practice Address - Phone:212-233-9494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-05
Last Update Date:2016-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0407751225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist