Basic Information
| Provider Information | |||||||||
| NPI: | 1295086643 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAGUIB ABDALLAH | ||||||||
| FirstName: | ABIR | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2000 EMPIRE BLVD STE 120 | ||||||||
| Address2: | |||||||||
| City: | WEBSTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 145801957 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5859220930 | ||||||||
| FaxNumber: | 5857972533 | ||||||||
| Practice Location | |||||||||
| Address1: | 2655 RIDGEWAY AVE STE 420 | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146264296 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5857237972 | ||||||||
| FaxNumber: | 5853683119 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2012 | ||||||||
| LastUpdateDate: | 07/14/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/14/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | 30232 | NE | N | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 208100000X | 306184 | NY | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
No ID Information.