Provider Demographics
NPI:1750155263
Name:ABDELNABY, NOSIBA MOSA
Entity type:Individual
Prefix:
First Name:NOSIBA
Middle Name:MOSA
Last Name:ABDELNABY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2074 CROPSEY AVE APT 5B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-6243
Mailing Address - Country:US
Mailing Address - Phone:347-273-7336
Mailing Address - Fax:
Practice Address - Street 1:2074 CROPSEY AVE APT 5B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-6243
Practice Address - Country:US
Practice Address - Phone:347-273-7336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051334225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist