Manal M Abdellatif

Primary specialty

SpecialistTaxonomy code 174400000X

License

454774101 Issued in NY

Practice address

4533 Hylan Blvd
1St Floor
Staten Island, NY 10312-6422

Phone

(718) 450-1550

Fax

(718) 317-7370

NPI assigned

Jun 10, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339286400000",
    "number": "1982966693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 HYLAN BLVD",
            "address_2": "1ST FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126422",
            "telephone_number": "718-450-1550",
            "fax_number": "718-317-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4533 HYLAN BLVD",
            "address_2": "1ST FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126422",
            "telephone_number": "718-450-1550",
            "fax_number": "718-317-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELLATIF",
        "first_name": "MANAL",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-10",
        "last_updated": "2012-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "16083",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "454774101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC SCHOOL CERTIFIED TEACHER",
            "identifier": "454774101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SERVICE COORDINATOR",
            "identifier": "16083",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohamed Abdelaziz
• Amanda Abdeldayem, LCSW
• Ibrahim Farouk Abdelfatah, PHYSICAL THERAPIST
• Mona Abdelgawad
• Shady Abdelhalim
• Nabil Abdelmalak, MD
• Anissa Abdelmalek, MD
• Ahmed Nabile Abdelmoamen, PHYSICAL THERAPIST
• Dina Hisham Abdelsalam
• Nahed K. Abdelwahab, RPH,MS

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.