Provider Demographics
NPI:1447063359
Name:ABDELMAGUID, MOHAMED HAMED (PH)
Entity type:Individual
Prefix:MR
First Name:MOHAMED
Middle Name:HAMED
Last Name:ABDELMAGUID
Suffix:
Gender:M
Credentials:PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 CEDAR RD
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-4127
Mailing Address - Country:US
Mailing Address - Phone:917-378-4306
Mailing Address - Fax:
Practice Address - Street 1:56 CEDAR RD
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-4127
Practice Address - Country:US
Practice Address - Phone:917-378-4306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072442183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist