Provider Demographics
NPI:1841187374
Name:ABDELAAL, MAGDI IBRAHIM MOHAMED
Entity type:Individual
Prefix:
First Name:MAGDI
Middle Name:IBRAHIM MOHAMED
Last Name:ABDELAAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2955 SHELL RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-3634
Mailing Address - Country:US
Mailing Address - Phone:646-631-8291
Mailing Address - Fax:
Practice Address - Street 1:4238 BRONX BLVD, BRONX
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:10468
Practice Address - Country:US
Practice Address - Phone:212-722-9223
Practice Address - Fax:212-722-9223
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045475225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist