Provider Demographics
NPI:1124344312
Name:MOHAMED, YEHIA ABOUELYOUSR (DPT)
Entity type:Individual
Prefix:DR
First Name:YEHIA
Middle Name:ABOUELYOUSR
Last Name:MOHAMED
Suffix:
Gender:M
Credentials:DPT
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Mailing Address - Street 1:928 BROADWAY SUITE 301
Mailing Address - Street 2:GRAMERCY PARK PHYSICAL THERAPY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6008
Mailing Address - Country:US
Mailing Address - Phone:718-285-2706
Mailing Address - Fax:646-202-1859
Practice Address - Street 1:928 BROADWAY SUITE 301
Practice Address - Street 2:GRAMERCY PARK PHYSICAL THERAPY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6008
Practice Address - Country:US
Practice Address - Phone:718-285-2706
Practice Address - Fax:646-202-1859
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-13
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY031486225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist