IndividualActive
Abdelrahman Eldeeb, PTA
NPI 1306402300 · Physical Therapy Assistant · Staten Island, NY
Provider details
- NPI number
- 1306402300
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 011976 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2052 Richmond Rd
Staten Island, NY 10306-2583
Phone: (718) 667-2190
Fax: (718) 667-7279
Approximate (ZIP-level) locationGet directions
Mailing address
360 Naughton Ave
Staten Island, NY 10305-2227
Registry dates
- Enumerated
- 2019-05-15
- Last updated
- 2019-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.