Provider Demographics
NPI:1316594237
Name:ALAQEEL, MOTAZ ABDULRAHMAN
Entity Type:Individual
Prefix:
First Name:MOTAZ
Middle Name:ABDULRAHMAN
Last Name:ALAQEEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 E 63RD ST APT 6S
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7912
Mailing Address - Country:US
Mailing Address - Phone:929-291-8585
Mailing Address - Fax:
Practice Address - Street 1:504 E 63RD ST APT 6S
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7912
Practice Address - Country:US
Practice Address - Phone:929-291-8585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY297768207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery