Healthcare Provider Details

I. General information

NPI: 1801453865
Provider Name (Legal Business Name): ASHRAF K ABDELHEMID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2019
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SUNY DOWNSTATE MEDICAL CENTER 450 CLARKSON AVENUE
BROOKLYN NY
11203-2012
US

IV. Provider business mailing address

25 3RD AVE FL 2
BROOKLYN NY
11217-1824
US

V. Phone/Fax

Practice location:
  • Phone: 718-270-2271
  • Fax:
Mailing address:
  • Phone: 850-730-8585
  • Fax: 731-201-5320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME144094
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number304529-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: