Individual
MAYA FAKHOURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-4000
Mailing address
1 GUSTAVE L LEVY PL # 1118, NEW YORK, NY 10029-6504
(212) 241-0896
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
25MA10792400
NJ
207RN0300X
Nephrology Physician
Primary
305042
NY
Other
Enumeration date
10/20/2014
Last updated
11/23/2021
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