Doctor Name: | ADEL GEORGE AYYAD |
NPI Number: | 1740599505 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 029482 |
Business Practice Address: | 8763 83rd Street Jackson Heights, NY - 11732 |
Business Phone Number: | 7182058781 |
Business Fax Number: | 3475271218 |
Mailing Address: | 93 Beacon Hill Rd, PORT WASHINGTON |
State: | NY |
Postal Code: | 110503038 |
Phone Number: | 5165129853 |
Fax Number: | 7187753419 |
NPI Enumeration Date: | 09/28/2010 |
NPI Last Update Date: | 11/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 029482 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |