Provider Demographics
NPI:1629835707
Name:THE NEW YORK DOCTOR PLLC
Entity Type:Organization
Organization Name:THE NEW YORK DOCTOR PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:ALY
Authorized Official - Last Name:ABDELFADIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-400-4507
Mailing Address - Street 1:2727 W DR MARTIN LUTHER KING JR BLVD STE 760
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6358
Mailing Address - Country:US
Mailing Address - Phone:813-374-0406
Mailing Address - Fax:813-374-0940
Practice Address - Street 1:2727 W DR MARTIN LUTHER KING JR BLVD STE 760
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6358
Practice Address - Country:US
Practice Address - Phone:813-374-0406
Practice Address - Fax:813-374-0940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty