Provider Demographics
NPI:1174585392
Name:EL-MARAGHY, NADIA B (MD)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:B
Last Name:EL-MARAGHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 RICHMOND ROAD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-2551
Mailing Address - Country:US
Mailing Address - Phone:718-351-5555
Mailing Address - Fax:718-351-8914
Practice Address - Street 1:1920 RICHMOND ROAD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-2551
Practice Address - Country:US
Practice Address - Phone:718-351-5555
Practice Address - Fax:718-351-8914
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY145415208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
C10370Medicare UPIN