Provider Demographics
NPI:1861709461
Name:ABDRABO, GELAN
Entity type:Individual
Prefix:
First Name:GELAN
Middle Name:
Last Name:ABDRABO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 ROCKAWAY AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-5634
Mailing Address - Country:US
Mailing Address - Phone:347-217-3688
Mailing Address - Fax:718-975-7521
Practice Address - Street 1:400 ROCKAWAY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-5634
Practice Address - Country:US
Practice Address - Phone:347-217-3688
Practice Address - Fax:718-975-7521
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018935225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist