Provider Demographics
NPI:1386426468
Name:BAYRAM, MEHMET (DPT, PT)
Entity type:Individual
Prefix:DR
First Name:MEHMET
Middle Name:
Last Name:BAYRAM
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 WYTHE AVE APT 603
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-5180
Mailing Address - Country:US
Mailing Address - Phone:347-282-4278
Mailing Address - Fax:
Practice Address - Street 1:321 WYTHE AVE APT 603
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-5180
Practice Address - Country:US
Practice Address - Phone:347-282-4278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044838225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist