Healthcare Provider Details

I. General information

NPI: 1194857649
Provider Name (Legal Business Name): DR. AHMED RAMADAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2007
Last Update Date: 05/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4025 74TH ST FL 1
ELMHURST NY
11373
US

IV. Provider business mailing address

4025 74TH ST FL 1
ELMHURST NY
11373-5603
US

V. Phone/Fax

Practice location:
  • Phone: 718-737-3836
  • Fax: 646-558-7528
Mailing address:
  • Phone: 718-737-3836
  • Fax: 646-558-7528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251C2600X
TaxonomyCardiopulmonary Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number015313
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: