Provider Demographics
NPI:1285438770
Name:ELSAYED MOHAMAD, MOHAMAD AHMAD
Entity type:Individual
Prefix:
First Name:MOHAMAD AHMAD
Middle Name:
Last Name:ELSAYED MOHAMAD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4237 64TH ST
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-5046
Mailing Address - Country:US
Mailing Address - Phone:646-339-5518
Mailing Address - Fax:
Practice Address - Street 1:4237 64TH ST
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-5046
Practice Address - Country:US
Practice Address - Phone:646-339-5518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics