Individual
ABDELOUAHED ELMOUCHTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 CLARKSON AVE, BOX # 1203, BROOKLYN, NY 11203-2056
(718) 270-2022
Mailing address
61 SOMERSET RD, HOPEWELL JUNCTION, NY 12533-3234
(718) 759-9143
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
226445
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02475749
—
NY
Enumeration date
02/06/2006
Last updated
09/12/2007
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