Provider Demographics
NPI:1437776572
Name:ABDELMESSIH, MINO M (DPM)
Entity type:Individual
Prefix:DR
First Name:MINO
Middle Name:M
Last Name:ABDELMESSIH
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:2685 PITKIN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-3892
Mailing Address - Country:US
Mailing Address - Phone:718-489-9566
Mailing Address - Fax:347-489-9566
Practice Address - Street 1:14845 HILLSIDE AVE FL 1
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-3308
Practice Address - Country:US
Practice Address - Phone:718-489-9566
Practice Address - Fax:347-284-1778
Is Sole Proprietor?:No
Enumeration Date:2020-07-05
Last Update Date:2024-08-28
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Provider Licenses
StateLicense IDTaxonomies
NY007312213EP1101X, 213EP0504X, 213ES0103X, 213ES0131X, 213E00000X, 213ER0200X, 213ES0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213EP0504XPodiatric Medicine & Surgery Service ProvidersPodiatristPublic Medicine
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No213ER0200XPodiatric Medicine & Surgery Service ProvidersPodiatristRadiology
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine