Individual provider · NPI-1

Khalid Gomaa Mahmoud Attia, PT

Physical Therapist · Astoria, NY

NPI number1881246544
StatusActive
Last updated in NPPESFeb 15, 2021

Details

NPI
1881246544
Entity type
Individual (NPI-1)
Name
Mr. Khalid Gomaa Mahmoud Attia
Credential
PT
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 12, 2019
Certification date
Feb 15, 2021
Last updated
Feb 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist042824NYYes

Practice location

2531 Steinway St
Astoria, NY 11103-3788

Phone 929-463-7105

Mailing address

2527 Steinway St Apt 2r
Astoria, NY 11103-3736

Phone 201-450-0569

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