Provider Demographics
NPI:1073832663
Name:ABDELHAKIM, AHMED M (DPT)
Entity Type:Individual
Prefix:DR
First Name:AHMED
Middle Name:M
Last Name:ABDELHAKIM
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 BATTERY AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-7140
Mailing Address - Country:US
Mailing Address - Phone:718-696-9761
Mailing Address - Fax:718-836-4201
Practice Address - Street 1:211 BATTERY AVE FL 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-7140
Practice Address - Country:US
Practice Address - Phone:718-696-9761
Practice Address - Fax:718-836-4201
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-22
Last Update Date:2010-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015933225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist