Individual
AMMAR ALWARDAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8000
Mailing address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61372713
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/01/2020
Last updated
07/10/2023
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