Provider Demographics
NPI:1679965669
Name:HASIB, LOAI GALALELDIN (PT-DPT)
Entity Type:Individual
Prefix:MR
First Name:LOAI
Middle Name:GALALELDIN
Last Name:HASIB
Suffix:
Gender:M
Credentials:PT-DPT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1247 - 74TH STREET
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228
Mailing Address - Country:US
Mailing Address - Phone:646-269-4389
Mailing Address - Fax:
Practice Address - Street 1:260 AVENUE X
Practice Address - Street 2:CENTURY MEDICAL & DENTAL CENTER, INC.
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-5940
Practice Address - Country:US
Practice Address - Phone:718-336-8855
Practice Address - Fax:718-336-4366
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-27
Last Update Date:2016-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0374802251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics