Basic Information
Provider Information
NPI: 1174919526
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABDEL-NABY
FirstName: RAMY
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 BROOKDALE PLZ
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112123139
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1 BROOKDALE PLZ DEPT OF
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112123139
CountryCode: US
TelephoneNumber: 7182406386
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/13/2015
LastUpdateDate: 07/15/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/15/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086S0102X301983NYN Allopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
2086S0127X301983NYY Allopathic & Osteopathic PhysiciansSurgeryTrauma Surgery

No ID Information.


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