Provider Demographics
NPI:1215354592
Name:NADA, ABDELHALIM ZAGHLOUL (PT, DPT, PHD)
Entity type:Individual
Prefix:DR
First Name:ABDELHALIM
Middle Name:ZAGHLOUL
Last Name:NADA
Suffix:
Gender:M
Credentials:PT, DPT, PHD
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Mailing Address - Street 1:427 BOARDWAY SUITE #3
Mailing Address - Street 2:MOUNTAIN PHYSICAL THERAPY
Mailing Address - City:MONTICELLO
Mailing Address - State:NY
Mailing Address - Zip Code:12701
Mailing Address - Country:US
Mailing Address - Phone:845-796-2470
Mailing Address - Fax:845-796-1420
Practice Address - Street 1:427 BOARDWAY, SUITE #3
Practice Address - Street 2:MOUNTAIN PHYSICAL THERAPY
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701
Practice Address - Country:US
Practice Address - Phone:845-796-2470
Practice Address - Fax:845-796-1420
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
034785225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist