Doctor Name: | KHADIM HUSSAIN BETTS |
NPI Number: | 1245401470 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 022712-1 |
Business Practice Address: | 152 Islip Ave Ste. 15 Islip, NY - 117513225 |
Business Phone Number: | 6312776767 |
Business Fax Number: | |
Mailing Address: | 1020 Montauk Hwy, COPIAGUE |
State: | NY |
Postal Code: | 117264902 |
Phone Number: | 6318422424 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2008 |
NPI Last Update Date: | 03/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 022712-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |