Provider Demographics
NPI:1962448597
Name:ELSAYED, EHAB G (PT)
Entity Type:Individual
Prefix:
First Name:EHAB
Middle Name:G
Last Name:ELSAYED
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-2335
Mailing Address - Country:US
Mailing Address - Phone:718-333-9070
Mailing Address - Fax:718-333-9060
Practice Address - Street 1:2634 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4516
Practice Address - Country:US
Practice Address - Phone:718-769-7878
Practice Address - Fax:718-769-7879
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026516225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist