| Prime Leader Pt Pc | |
|
139 N Central Ave, Valley Stream, NY 11580-3856 | |
| (516) 612-7288 | |
| Not Available |
| Full Name | Prime Leader Pt Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 139 N Central Ave, Valley Stream, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568853786 | NPI | - | NPPES |
| 35568 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 35568 (New York) | Primary |
| Provider Name | Ahmed M Ghanem |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063832368 PECOS PAC ID: 6103145172 Enrollment ID: I20150427000032 |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Leader Pt Pc 8535 58th Ave, Elmhurst, NY 11373-4811 Ph: (929) 333-0369 | Prime Leader Pt Pc 139 N Central Ave, Valley Stream, NY 11580-3856 Ph: (516) 612-7288 |
Ms. Sharon Beth Kaplan, P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 Mary St, Valley Stream, NY 11580 Phone: 718-757-2485 | |
Dr. Maureen Spence Campbell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 347 Arkansas Dr, Valley Stream, NY 11580 Phone: 860-709-8885 | |
Achieve Pt Ot Slp Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 776 University St, Valley Stream, NY 11581 Phone: 516-220-0649 Fax: 516-569-1901 | |
Jerusalem Vicencio Valdez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18 Wood Ln, Valley Stream, NY 11581 Phone: 646-469-1527 Fax: 516-341-0294 | |
Dr. Ashley Sara Chinnan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 28 South Cottage Street, Valley Stream, NY 11580 Phone: 516-837-0509 Fax: 516-599-0856 | |
Dylan Klieber, Physical Therapist Medicare: Medicare Enrolled Practice Location: 26 Wilson Rd, Valley Stream, NY 11581 Phone: 516-209-9701 | |
Dr. Michael Perrone, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 125 N Central Ave, Valley Stream, NY 11580 Phone: 516-568-4444 |