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NPI Code Detail

MEDICARE: SOMAIA HAMMOUS

MEDICARE:   SOMAIA  HAMMOUS
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
1225100000XPhysical Therapist018728NY

General Provider Information

NPI Number : 1669905980
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOMAIA HAMMOUS
Provider Business Mailing Address
First Line : 27 PERSHING ST
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10305-4429
Country : US
Telephone Number : 917-535-6502
Fax Number :
Provider Business Practice Location Address
First Line : 27 PERSHING ST
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10305-4429
Country : US
Telephone Number : 917-535-6502
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2017
Last Update Date : 04/04/2017

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Directions to “ SOMAIA HAMMOUS ” Practice Location

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