Individual
BASSANT TALAAT MAHFOUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1780 76TH ST APT D6, BROOKLYN, NY 11214-1162
(347) 341-7309
Mailing address
1780 76TH ST APT D6, BROOKLYN, NY 11214-1162
(347) 341-7309
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81271108132
—
NY
01
—
ZP10813E
HEALTHFIRST
NY
05
—
ZP10813E
—
NY
Enumeration date
10/28/2021
Last updated
10/28/2021
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