Provider Demographics
NPI:1801084850
Name:ELMANSY, AHMED MAHMOUD (PT)
Entity type:Individual
Prefix:MR
First Name:AHMED
Middle Name:MAHMOUD
Last Name:ELMANSY
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 1:8523 FORT HAMILTON PKWY APT 3F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-4822
Mailing Address - Country:US
Mailing Address - Phone:718-450-7070
Mailing Address - Fax:718-621-0777
Practice Address - Street 1:1461 BATH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-3818
Practice Address - Country:US
Practice Address - Phone:718-450-7070
Practice Address - Fax:718-621-0777
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016017225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist