=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437389285
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THERAPEUTIC TOUCH PT, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/15/2009
-----------------------------------------------------
Last Update Date | 06/12/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 790 RICHMOND RD
-----------------------------------------------------
City | STATEN ISLAND
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10304-2420
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-763-4314
-----------------------------------------------------
Fax | 347-244-7228
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 790 RICHMOND RD
-----------------------------------------------------
City | STATEN ISLAND
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10304-2420
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-876-1950
-----------------------------------------------------
Fax | 718-876-1950
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SHAREHOLD AND PRESIDENT
-----------------------------------------------------
Name | DR. YEHIA S. MOHAMMED OSMAN
-----------------------------------------------------
Credential | DPT
-----------------------------------------------------
Telephone | 718-876-1950
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 320700000X
-----------------------------------------------------
Taxonomy Name | Physical Disabilities Residential Treatment Facility
-----------------------------------------------------
License Number | 018595
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------