MEDICARE: AHMAD CHIROPRACTIC AND ALAIDY PHYSICAL THERAPY PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	111N00000X	Chiropractor
2	225100000X	Physical Therapist
3	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1508661737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHMAD CHIROPRACTIC AND ALAIDY PHYSICAL THERAPY PLLC

Provider Business Mailing Address
First Line	:	13204 83RD ST
Second Line	:
City	:	OZONE PARK
State	:	NY
Zip	:	11417-1206
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1381 CASTLE HILL AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-0708
Country	:	US
Telephone Number	:	929-625-8421
Fax Number	:

Authorized Official
Title or Position	:	DC
Name	:	ZAKIR AHMAD
Credential	:
Telephone Number	:	929-625-8421

Provider Enumeration Date	:	02/13/2025
Last Update Date	:	02/13/2025

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