Provider Demographics
NPI:1629344379
Name:NAGUIB, EHAB GAMEEL (DOCTOR OF PT)
Entity Type:Individual
Prefix:
First Name:EHAB
Middle Name:GAMEEL
Last Name:NAGUIB
Suffix:
Gender:M
Credentials:DOCTOR OF PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:791 EMPIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-5653
Mailing Address - Country:US
Mailing Address - Phone:718-756-0122
Mailing Address - Fax:
Practice Address - Street 1:791 EMPIRE BLVD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-5653
Practice Address - Country:US
Practice Address - Phone:718-756-0122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0341512251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics