Individual
HALA INNABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
600 E 233RD ST, BRONX, NY 10466-2604
(718) 920-9000
Mailing address
51 ANNSVILLE TRL, YONKERS, NY 10703-1603
(914) 419-4985
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
023119
NY
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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