Provider Demographics
NPI:1558161976
Name:MAHA GHORAYEB NP IN FAMILY HEALTH, PLLC
Entity type:Organization
Organization Name:MAHA GHORAYEB NP IN FAMILY HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:MAHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GHORAYEB
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-BC, RN
Authorized Official - Phone:518-203-8109
Mailing Address - Street 1:20 INDEPENDENCE ROW
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:NY
Mailing Address - Zip Code:12170-1340
Mailing Address - Country:US
Mailing Address - Phone:518-203-8109
Mailing Address - Fax:518-203-8109
Practice Address - Street 1:20 INDEPENDENCE ROW
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:NY
Practice Address - Zip Code:12170-1340
Practice Address - Country:US
Practice Address - Phone:518-203-8109
Practice Address - Fax:518-203-8109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty