Provider Demographics
NPI:1912476193
Name:YOUSSEF, FADY ABDELFADY (DPT)
Entity type:Individual
Prefix:
First Name:FADY
Middle Name:ABDELFADY
Last Name:YOUSSEF
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 DALLENBACH LN
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5684
Mailing Address - Country:US
Mailing Address - Phone:732-485-0528
Mailing Address - Fax:
Practice Address - Street 1:3799 ROUTE 46 STE 110
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1060
Practice Address - Country:US
Practice Address - Phone:973-265-8621
Practice Address - Fax:862-701-1837
Is Sole Proprietor?:No
Enumeration Date:2018-11-17
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01830800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist