Provider Demographics
NPI:1023480290
Name:ALMANASTIRLY, OSAMA (PT)
Entity type:Individual
Prefix:
First Name:OSAMA
Middle Name:
Last Name:ALMANASTIRLY
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 1:3311 SHORE PKWY
Mailing Address - Street 2:APT FF
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3937
Mailing Address - Country:US
Mailing Address - Phone:347-257-2790
Mailing Address - Fax:855-955-3899
Practice Address - Street 1:8535 58TH AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4811
Practice Address - Country:US
Practice Address - Phone:929-241-7166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-27
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0389012251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic