Provider Demographics
NPI:1730763434
Name:ALKASSAS, OSAMA SAAD (PT, DPT)
Entity type:Individual
Prefix:
First Name:OSAMA
Middle Name:SAAD
Last Name:ALKASSAS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2709 E 22ND ST FL 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2807
Mailing Address - Country:US
Mailing Address - Phone:347-217-6176
Mailing Address - Fax:
Practice Address - Street 1:3209 FULTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-1907
Practice Address - Country:US
Practice Address - Phone:347-217-6176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-08
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042260225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist