Individual provider · NPI-1

Dr. Mino M. Abdelmessih, DPM

Podiatrist · Jamaica, NY

NPI number1437776572
StatusActive
Last updated in NPPESAug 28, 2024

Details

NPI
1437776572
Entity type
Individual (NPI-1)
Name
Dr. Mino M. Abdelmessih
Credential
DPM
Sex
Male
Sole proprietor
No
Enumeration date
Jul 5, 2020
Certification date
Aug 28, 2024
Last updated
Aug 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist007312NYYes
213EP1101X Podiatrist, Primary Podiatric Medicine007312NY
213EP0504X Podiatrist, Public Medicine007312NY
213ES0103X Podiatrist, Foot & Ankle Surgery007312NY
213ES0131X 007312NY
213ER0200X Podiatrist, Radiology007312NY
213ES0000X Podiatrist, Sports Medicine007312NY

Practice location

14845 Hillside Ave Fl 1
Jamaica, NY 11435-3308

Phone 718-489-9566 · Fax 347-284-1778

Mailing address

2685 Pitkin Ave
Brooklyn, NY 11208-3892

Phone 718-489-9566 · Fax 347-489-9566

Other practice locations

2685 Pitkin Ave
Brooklyn, NY 11208-3892

Phone 718-489-9566 · Fax 347-284-1778

531 Targee St
Staten Island, NY 10304-3501

Phone 929-266-6541 · Fax 718-307-7511

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