Khallaf, Mohamed

Khallaf, Mohamed is an individual health care provider with primary practice located at 6805 Fresh Pond Rd , Ridgewood NY 11385-5200. He recently has 5 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Human Factors, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Khallaf, Mohamed can be contacted via phone (718) 456-2543.

Contact Information

Primary practice address
6805 Fresh Pond Rd Ridgewood NY 11385-5200
Phone: (718) 456-2543
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1345001 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Human Factors 2251H1300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 036856 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1174068720
LBN Legal business name Khallaf, Mohamed
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2017
Last updated Jul 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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