National Provider Identifier

Adham Zidan

Adham Zidan is listed in the NPPES registry with a primary specialty of Geriatric Physical Therapist in North Tonawanda, NY and a listed phone number of (716) 550-9697.

NPI 1497548838North Tonawanda, NYGeriatric Physical Therapist

Profile Overview

NPI
1497548838
Provider Type
Individual
Primary Specialty
Geriatric Physical Therapist
Enumeration Date
May 28, 2025
Last Updated
May 28, 2025

Practice Location

  • 356 Bennett St
  • North Tonawanda, NY 14120-4102

Phone: (716) 550-9697

Specialties

  • Geriatric Physical Therapist (2251G0304X)
Full Record
NPI
1497548838
Entity Type
Individual
Last Name
Zidan
First Name
Adham
Mailing Street Address
356 Bennett St
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-4102
Mailing Country
US
Practice Street Address
356 Bennett St
Practice City
North Tonawanda
Practice State
NY
Practice ZIP Code
14120-4102
Practice Country
US
Practice Phone
(716) 550-9697
Enumeration Date
May 28, 2025
Last Updated
May 28, 2025
Sex
Male
Sole Proprietor
Yes
Certification Date
May 28, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Geriatric Physical Therapist (2251G0304X)