Individual provider · NPI-1
Khaled Aaga
Physical Therapist, Pediatrics · Brooklyn, NY
NPI number1215273164
StatusActive
Last updated in NPPESJan 3, 2013
Details
- NPI
- 1215273164
- Entity type
- Individual (NPI-1)
- Name
- Khaled Aaga
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2012
- Last updated
- Jan 3, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251P0200X | Physical Therapist, Pediatrics | 032839 | NY | Yes |
Practice location
2525 Haring StBrooklyn, NY 11235-1655
Phone 718-769-6984
Mailing address
30 Bay 17th StBrooklyn, NY 11214-3706
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