Provider Demographics
NPI:1083920862
Name:AHMED, NOHA NABIL ABD EL-FATTAH (PT)
Entity Type:Individual
Prefix:
First Name:NOHA
Middle Name:NABIL ABD EL-FATTAH
Last Name:AHMED
Suffix:
Gender:F
Credentials:PT
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 3
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:718-795-3666
Mailing Address - Fax:718-833-1060
Practice Address - Street 1:2113 W 6TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-3756
Practice Address - Country:US
Practice Address - Phone:718-714-7272
Practice Address - Fax:718-714-0072
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031212225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist