Healthcare Provider Details

I. General information

NPI: 1629426697
Provider Name (Legal Business Name): MUHAMMAD USMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2016
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18818 LINDEN BLVD
SAINT ALBANS NY
11412-4028
US

IV. Provider business mailing address

2064 CENTRAL DR N
EAST MEADOW NY
11554-5114
US

V. Phone/Fax

Practice location:
  • Phone: 718-709-4542
  • Fax:
Mailing address:
  • Phone: 646-474-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number040041
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: