Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mamdouh M Eldeeb, PT

Individual provider Specialist · NPI 1104876408

Mamdouh M Eldeeb, PT is a Physical Therapist in Private Practice in Bronx, New York. Qualified in 2007, 19 years ago. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3250 Westchester Ave Ste LL5
Bronx, NY 10461-4500
Phone: (718) 518-8040
Fax: (718) 518-8043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 011463 (NY)
Specialist Taxonomy 174400000X (NY)

Record details

NPI number1104876408
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 10, 2006
Last updated in NPPESJuly 8, 2007
Mailing address18 Faith Ln, Ardsley, NY 10502-2529

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated

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