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

Mr. Mamdouh Ezzat Ibrahim

Individual provider Driver · NPI 1841959285

Mr. Mamdouh Ezzat Ibrahim is a Driver in Fairport, New York. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

211 Moseley Rd
Fairport, NY 14450-3060
Phone: (315) 744-7674
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Taxi (primary) Taxonomy 344600000X
Driver Taxonomy 172A00000X

Record details

NPI number1841959285
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 13, 2021
Last updated in NPPESDecember 13, 2021
Certification dateDecember 13, 2021
Mailing address211 Moseley Rd, Fairport, NY 14450-3060

Other providers in Fairport