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Contact Information

MOHAMED KHALLAF
6805 FRESH POND RD
RIDGEWOOD, NY11385-5200
 Phone: 718-456-2543
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Human Factors

2251H1300X 65 Physical Therapist in Private Practice
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MOHAMED KHALLAF · (Male)

NPI # 1174068720
Status Active
Credentials
Entity Individual
Enumeration date 01/05/2017
Last updated 07/06/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 036856
  • TX License # 1345001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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