Provider Demographics
NPI:1477631349
Name:FAHMY, MAGDA ARNEST (MD)
Entity Type:Individual
Prefix:DR
First Name:MAGDA
Middle Name:ARNEST
Last Name:FAHMY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14415 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-2318
Mailing Address - Country:US
Mailing Address - Phone:718-460-2876
Mailing Address - Fax:718-460-6374
Practice Address - Street 1:15319 UNION TPKE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-3943
Practice Address - Country:US
Practice Address - Phone:718-380-8200
Practice Address - Fax:718-380-5381
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215618208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0337J1Medicare ID - Type Unspecified
NYH95533Medicare UPIN