Provider Demographics
NPI:1437892288
Name:ABDELMALAAK, NADA
Entity Type:Individual
Prefix:MS
First Name:NADA
Middle Name:
Last Name:ABDELMALAAK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 W 53RD ST
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-3114
Mailing Address - Country:US
Mailing Address - Phone:347-691-9097
Mailing Address - Fax:
Practice Address - Street 1:1 WORTH PL
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-1822
Practice Address - Country:US
Practice Address - Phone:347-691-9097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health