Provider Demographics
NPI:1497537401
Name:ABDELNABI, MOHAMED (OTR/L)
Entity Type:Individual
Prefix:
First Name:MOHAMED
Middle Name:
Last Name:ABDELNABI
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9707 HORACE HARDING EXPY APT 15J
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-4132
Mailing Address - Country:US
Mailing Address - Phone:347-445-5099
Mailing Address - Fax:
Practice Address - Street 1:6180 WOODHAVEN BLVD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11374-2742
Practice Address - Country:US
Practice Address - Phone:718-446-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028160-01225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist