Provider Demographics
NPI:1457594335
Name:MORSY, MOHAMED MOHAMED (BSC PT)
Entity Type:Individual
Prefix:MR
First Name:MOHAMED
Middle Name:MOHAMED
Last Name:MORSY
Suffix:
Gender:M
Credentials:BSC PT
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Mailing Address - Street 1:195 MALLORY AVE
Mailing Address - Street 2:FL 2
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305
Mailing Address - Country:US
Mailing Address - Phone:718-614-8616
Mailing Address - Fax:718-614-8616
Practice Address - Street 1:195 MALLORY AVE
Practice Address - Street 2:FL 2
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305
Practice Address - Country:US
Practice Address - Phone:718-614-8616
Practice Address - Fax:718-614-8616
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2009-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY018461-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist