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NPI Code Detail

MEDICARE: DR. KHALED NABIL NASR DPT.MS.PT

MEDICARE:  DR. KHALED NABIL NASR  DPT.MS.PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical Therapist62 026149NY

General Provider Information

NPI Number : 1457547374
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KHALED NABIL NASR DPT.MS.PT
Provider Business Mailing Address
First Line : 1368 ACADEMY LN
Second Line :
City : TEANECK
State : NJ
Zip : 07666-2112
Country : US
Telephone Number : 347-400-7698
Fax Number :
Provider Business Practice Location Address
First Line : 780 8TH AVE STE 201
Second Line :
City : NEW YORK
State : NY
Zip : 10036-7000
Country : US
Telephone Number : 212-300-7069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2007
Last Update Date : 09/03/2015

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Directions to “ DR. KHALED NABIL NASR DPT.MS.PT” Practice Location

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