Individual
AHMED AL-SHAFAYEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 MORRIS PARK AVE, BRONX, NY 10461-1900
(718) 430-2694
Mailing address
3636 WALDO AVE APT 5A, BRONX, NY 10463-2248
(469) 394-3495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
317739
NY
Other
Enumeration date
07/13/2022
Last updated
10/21/2024
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