Active NPIIndividual provider

Aysar B Fathallah-Mammo, MD

Psychiatry & Neurology, Psychiatry in Brooklyn, New York

NPI Number1144230921
Practice location
1545 Atlantic Ave, Brooklyn, NY 11213-1122
Fax
—
Last updated
July 8, 2007

Aysar Benyamen Fathallah-Mammo is a Psychiatry & Neurology, Psychiatry based in Brooklyn, NY. Aysar Benyamen Fathallah-Mammo practices in Brooklyn, NY and has the professional credentials of MD. The NPI Number for Aysar Benyamen Fathallah-Mammo is 1144230921 and holds a License No. 212576 (NY). The current practice location address for Aysar Benyamen Fathallah-Mammo is 1545 Atlantic Ave, Brooklyn, NY 11213-1122 and can be reached out via phone at 800-376-5566.

Provider Profile Details

NPI Number
1144230921
Provider Name
Aysar Benyamen Fathallah-Mammo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1545 Atlantic Ave, Brooklyn, NY 11213-1122
Phone Number
800-376-5566
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
August 8, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1545 Atlantic Ave
Brooklyn, NY 11213-1122
Zip
11213-1122
Phone Number
800-376-5566
Brooklyn, NY 11213Get directions →

Provider Business Mailing Address Details

Address
Po Box 29889
New York, NY 10087-9889
City
New York
State
NY
Zip
10087-9889
Phone Number
800-376-5566

License Information

License Number
212576
License State
NY
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Aysar B Fathallah-Mammo, MD?

The NPI number of Aysar B Fathallah-Mammo, MD is 1144230921. It was assigned on August 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Aysar B Fathallah-Mammo, MD?

Aysar B Fathallah-Mammo, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NY under license number 212576.

Where does Aysar B Fathallah-Mammo, MD practice?

The practice location is 1545 Atlantic Ave, Brooklyn, NY 11213-1122. The office can be reached at 800-376-5566 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144230921 directly on the NPPES registry website.

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