MEDICARE: MAHMOUD MOHAMED ZID

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
1	225100000X	Physical Therapist	046887-01	NY

General Provider Information

NPI Number	:	1659015618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAHMOUD MOHAMED ZID

Provider Business Mailing Address
First Line	:	8210 19TH AVE APT B8
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-2343
Country	:	US
Telephone Number	:	929-559-8175
Fax Number	:

Provider Business Practice Location Address
First Line	:	8210 19TH AVE APT B8
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-2343
Country	:	US
Telephone Number	:	929-559-8175
Fax Number	:	929-559-8175

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2022
Last Update Date	:	04/11/2026

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