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NPI Code Detail

MEDICARE: MOHSINHUSAIN SHAUKATHUSAIN MALEK PT

MEDICARE: MOHSINHUSAIN SHAUKATHUSAIN MALEK 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
1225100000XPhysical Therapist032873-1NY

General Provider Information

NPI Number : 1710261219
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHSINHUSAIN SHAUKATHUSAIN MALEK PT
Provider Business Mailing Address
First Line : 17561 HILLSIDE AVE STE 202
Second Line :
City : JAMAICA
State : NY
Zip : 11432-5771
Country : US
Telephone Number : 718-545-8877
Fax Number : 718-545-2002
Provider Business Practice Location Address
First Line : 17561 HILLSIDE AVE STE 202
Second Line :
City : JAMAICA
State : NY
Zip : 11432-5771
Country : US
Telephone Number : 718-545-8877
Fax Number : 718-545-2002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2011
Last Update Date : 10/03/2011

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