Healthcare Provider Details

I. General information

NPI: 1215852553
Provider Name (Legal Business Name): SUHYLA ALBARGHOUTHY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E 210TH ST
BRONX NY
10467-2401
US

IV. Provider business mailing address

28 BOOTH ST APT 1
PLEASANTVILLE NY
10570-3466
US

V. Phone/Fax

Practice location:
  • Phone: 914-525-1945
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number035865
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: