Provider Demographics
NPI:1639111909
Name:SAAD, ASHRAF (DPT)
Entity Type:Individual
Prefix:
First Name:ASHRAF
Middle Name:
Last Name:SAAD
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 1:828 BAY RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-5731
Mailing Address - Country:US
Mailing Address - Phone:718-833-7102
Mailing Address - Fax:718-833-7102
Practice Address - Street 1:13 LAKE DR W
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-5803
Practice Address - Country:US
Practice Address - Phone:917-407-5054
Practice Address - Fax:201-625-6699
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017594174400000X, 225100000X
NJ40QA01732100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist