MEDICARE: MOHAMED YAHIA ABDALLA ELSAIDY PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor	026231-1	NY
2	225100000X	Physical Therapist	026231	NY

General Provider Information

NPI Number	:	1417159088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMED YAHIA ABDALLA ELSAIDY PT

Provider Business Mailing Address
First Line	:	2 CIRCLE RD STE LL
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10304-1213
Country	:	US
Telephone Number	:	347-307-1509
Fax Number	:

Provider Business Practice Location Address
First Line	:	4025 74TH ST
Second Line	:
City	:	ELMHURST
State	:	NY
Zip	:	11373-5634
Country	:	US
Telephone Number	:	718-280-1137
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	01/05/2026

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