MR. MAMDOUH EZZAT IBRAHIM NPI 1841959285

NPI Information

  • NPI: 1841959285
  • Provider Name: MR. MAMDOUH EZZAT IBRAHIM
  • Classification: Taxi - 344600000X
  • Entity Type: Individual
  • Address: 211 MOSELEY RD
    FAIRPORT, NY
    ZIP 14450
  • Phone: (315) 744-7674

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NPI Details

MR. Mamdouh Ezzat Ibrahim is a taxi in Fairport, NY. The provider is a land commercial vehicle used for the transporting of persons in non-emergency situations. The vehicle meets local, county or state regulations set forth by the jurisdictions where it is located. MR. Mamdouh Ezzat Ibrahim NPI is 1841959285. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

211 MOSELEY RD
FAIRPORT, NY
ZIP 14450-060
Phone: (315) 744-7674

The enumeration date for this NPI number is 12/13/2021 and was last updated on 12/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1172A00000XDriverNo
2344600000XTaxiYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
106779419MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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