Individual
DR. FATHY SHARAF ABDALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D, NCPSYA
Contact information
Practice address
121 CEDAR LN, SUITE 3-B, TEANECK, NJ 07666-4457
(862) 812-0647
(201) 836-3902
Mailing address
121 CEDAR LN, SUITE 3-B, TEANECK, NJ 07666-4457
(862) 812-0647
(201) 836-3902
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
098.0090538
VT
Other
Enumeration date
04/19/2013
Last updated
05/15/2013
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