| Aysar Benyamen Fathalah-mammo,physician,pc | |
|
8000 4th Ave Brooklyn NY 11209-3959 | |
| (718) 748-2818 | |
| (718) 833-1016 |
| Full Name | Aysar Benyamen Fathalah-mammo,physician,pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8000 4th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Aysar B Fathallah-mammo (PRESIDENT) |
| Authorized Official Contact | 5168010662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aysar Benyamen Fathalah-mammo,physician,pc 372 Elm Dr Roslyn NY 11576-3013 Ph: (516) 801-0662 | Aysar Benyamen Fathalah-mammo,physician,pc 8000 4th Ave Brooklyn NY 11209-3959 Ph: (718) 748-2818 |
| NPI Number | 1427347350 |
|---|---|
| Provider Enumeration Date | 03/31/2011 |
| Last Update Date | 03/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427347350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 212576 (New York) | Primary |
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