Provider Demographics
NPI:1780976225
Name:ABDEL HADY, AHMED MAHMOUD SR (DPT)
Entity type:Individual
Prefix:DR
First Name:AHMED
Middle Name:MAHMOUD
Last Name:ABDEL HADY
Suffix:SR
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 LIAM CT
Mailing Address - Street 2:
Mailing Address - City:COLONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07067-4101
Mailing Address - Country:US
Mailing Address - Phone:917-816-7459
Mailing Address - Fax:482-355-1178
Practice Address - Street 1:17 W END AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-4812
Practice Address - Country:US
Practice Address - Phone:718-484-8199
Practice Address - Fax:718-484-8197
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-03
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
NJ40QA01787900225100000X
NY030398225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist