NPI Code Details Logo

NPI 1679259402

NPI 1679259402 : AHMED ELSAYED DABISH : RICHMOND HILL, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1679259402
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    AHMED ELSAYED DABISH
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/26/2023
-----------------------------------------------------
    Last Update Date     |    12/18/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    107-02R JAMICA AVE 
-----------------------------------------------------
    City                 |    RICHMOND HILL
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11418
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    347-829-3890
-----------------------------------------------------
    Fax                  |    347-829-3888
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2068 CAESAR PLACE 
-----------------------------------------------------
    City                 |    BRONX
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10473
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    347-829-3890
-----------------------------------------------------
    Fax                  |    347-829-3888
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    050054
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.