Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ishmael Nausrudeen

Individual provider Physical Therapist · NPI 1700559762

Ishmael Nausrudeen is a Physical Therapist in Kew Gardens, New York. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

8002 Kew Gardens Rd Fl 4
Kew Gardens, NY 11415-3604
Phone: (347) 954-0978
Fax: (718) 362-2495
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1700559762
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 27, 2021
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021

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