Provider Demographics
NPI:1083920862
Name:AHMED, NOHA NABIL ABD EL-FATTAH (PT)
Entity type:Individual
Prefix:
First Name:NOHA
Middle Name:NABIL ABD EL-FATTAH
Last Name:AHMED
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:382 MASON AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-2237
Mailing Address - Country:US
Mailing Address - Phone:718-690-1292
Mailing Address - Fax:718-690-1292
Practice Address - Street 1:415 OVINGTON AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-1539
Practice Address - Country:US
Practice Address - Phone:718-491-8440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031212225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist