Provider Demographics
NPI:1992869549
Name:BAKRY, WAEL (PT, MS)
Entity type:Individual
Prefix:
First Name:WAEL
Middle Name:
Last Name:BAKRY
Suffix:
Gender:M
Credentials:PT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1218 NEPTUNE AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-2903
Mailing Address - Country:US
Mailing Address - Phone:718-676-2191
Mailing Address - Fax:718-676-2190
Practice Address - Street 1:1218 NEPTUNE AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-2903
Practice Address - Country:US
Practice Address - Phone:718-676-2191
Practice Address - Fax:718-676-2190
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2013-04-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY018324225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist