Healthcare Provider Details

I. General information

NPI: 1619984770
Provider Name (Legal Business Name): PHYSICARE MULTI SERVICES LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3508 FLATLANDS AVE
BROOKLYN NY
11234
US

IV. Provider business mailing address

3508 FLATLANDS AVE
BROOKLYN NY
11234-2609
US

V. Phone/Fax

Practice location:
  • Phone: 718-253-3900
  • Fax: 718-258-7844
Mailing address:
  • Phone: 718-253-3900
  • Fax: 718-258-7844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. MOUSTAFA A ELSHESHTAWY
Title or Position: CEO
Credential: MD
Phone: 347-675-5544