Individual
ATTIA MAHFOOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
739 KNICKERBOCKER AVE, BROOKLYN, NY 11221-5336
(718) 456-1900
Mailing address
739 KNICKERBOCKER AVE, BROOKLYN, NY 11221-5336
(718) 456-1900
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0177061
NY
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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