Individual
AMALI BAISSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(718) 869-7672
Mailing address
1122 ALTAMIRA ST NW, PALM BAY, FL 32907-2737
(321) 872-4650
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
04/20/2026
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