Individual
MOHAMED ZIYAD ADISSA ADJIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
473 BERGEN ST APT 1, BROOKLYN, NY 11217-4041
(347) 796-2577
(347) 778-5933
Mailing address
1433 E 104TH ST, BROOKLYN, NY 11236-4515
(347) 796-2577
(347) 778-5933
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
393783231
NY
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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