MEDICARE: EHAB G ELSAYED 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	225100000X	Physical Therapist	026516	NY

General Provider Information

NPI Number	:	1962448597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EHAB G ELSAYED PT

Provider Business Mailing Address
First Line	:	433 ATLANTIC AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-2335
Country	:	US
Telephone Number	:	718-333-9070
Fax Number	:	718-333-9060

Provider Business Practice Location Address
First Line	:	3071 BRIGHTON 13TH ST LOWR LEVEL
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-5607
Country	:	US
Telephone Number	:	347-254-6292
Fax Number	:	347-312-5811

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

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	04/22/2026

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