Individual
MR. FADOUL BRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
147 PRINCE ST, BROOKLYN, NY 11201-3007
(718) 374-5949
Mailing address
1329 COLLEGE AVE APT 5A, BRONX, NY 10456-1543
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
643667501
NY STATE DRIVER'S LICENSE
NY
05
—
MV15418U
—
NY
Enumeration date
10/09/2017
Last updated
10/09/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us