Individual
ABDELAZIM ABDALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
228 BAY 43RD ST, APT. 2, BROOKLYN, NY 11214-6708
(646) 358-0105
(866) 670-4824
Mailing address
228 BAY 43RD ST, APT. 2, BROOKLYN, NY 11214-6708
(646) 358-0105
(866) 670-4824
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02685321
—
NY
Enumeration date
11/16/2013
Last updated
11/16/2013
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