Individual
AHMED ALBASSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1276 FULTON AVE, BRONX, NY 10456-3402
(718) 901-8653
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3402
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
296972
NY
Other
Enumeration date
05/22/2015
Last updated
03/08/2019
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