Healthcare Provider Details

I. General information

NPI: 1720110307
Provider Name (Legal Business Name): THERAMED ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

693 CONEY ISLAND AVE
BROOKLYN NY
11218-4306
US

IV. Provider business mailing address

693 CONEY ISLAND AVE
BROOKLYN NY
11218-4306
US

V. Phone/Fax

Practice location:
  • Phone: 718-340-3460
  • Fax:
Mailing address:
  • Phone: 718-340-3460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251E1300X
TaxonomyClinical Electrophysiology Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. ZIA UL HASSAN
Title or Position: PRESIDENT
Credential: PT
Phone: 516-523-8776