# BAKIR MOHAMMED ALTAI

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154613214
- **Authorized official:** MRS. INGRID WRIGHT ALTAI R.N. (ADMINISTRATOR)
- **Authorized official phone:** (201) 453-8900

## Contact information

- **Practice address:** 606 W 146TH ST, NEW YORK, NY 10031-4305
- **Practice address phone:** (212) 444-2209
- **Mailing address:** PO BOX 4115, WAYNE, NJ 07474-4115
- **Mailing address phone:** (201) 453-8900
- **Mailing address fax:** (201) 453-8903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 7434849 | NY | Yes |

## Other

- **Enumeration date:** 05/09/2011
- **Last updated:** 05/09/2011