Provider Demographics
NPI:1215633326
Name:ELSAYED, MOHAMED S
Entity type:Individual
Prefix:
First Name:MOHAMED
Middle Name:S
Last Name:ELSAYED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 BAY 49TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-6921
Mailing Address - Country:US
Mailing Address - Phone:347-631-0324
Mailing Address - Fax:
Practice Address - Street 1:111 BAY 49TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-6921
Practice Address - Country:US
Practice Address - Phone:347-631-0324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator