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Individual

MARY FATEHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
97 AMITY ST FL 3, OBGYN ASSOCIATES AT LICH, BROOKLYN, NY 11201-6004
(718) 780-1231
(718) 780-4987
Mailing address
PO BOX 31218, OBGYN ASSOCIATES AT LICH, HARTFORD, CT 06150
(914) 328-4500
(845) 565-6057

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
194627
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01532058
NY
Enumeration date
05/27/2006
Last updated
11/29/2007
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