Provider Demographics
NPI:1194833863
Name:ABOUELELA, AHMED M (PT)
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:M
Last Name:ABOUELELA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:526 BAY RIDGE PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-3310
Mailing Address - Country:US
Mailing Address - Phone:718-491-6556
Mailing Address - Fax:718-491-8571
Practice Address - Street 1:526 BAY RIDGE PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3310
Practice Address - Country:US
Practice Address - Phone:718-491-6556
Practice Address - Fax:718-491-8571
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY225100000X
NY014889225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist