Provider Demographics
NPI:1215815907
Name:ELSAYED, MOHAMED ALI AHMED
Entity type:Individual
Prefix:MR
First Name:MOHAMED
Middle Name:ALI AHMED
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 1:1461 SHORE PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-6146
Mailing Address - Country:US
Mailing Address - Phone:929-787-5346
Mailing Address - Fax:
Practice Address - Street 1:1461 SHORE PARKWAY
Practice Address - Street 2:APARTMENT 2G
Practice Address - City:BROOKLYN,NY
Practice Address - State:NY
Practice Address - Zip Code:11214-6129
Practice Address - Country:US
Practice Address - Phone:929-787-5346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0547022251H1200X, 2251P0200X, 2251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic