Individual
DR. AYMAN FATHALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-7272
Mailing address
1540 REGAN CT, HOFFMAN ESTATES, IL 60192-1160
(773) 248-4150
(773) 248-4291
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
P110416
NY
246ZC0007X
Surgical Assistant
—
—
Other
Enumeration date
07/01/2015
Last updated
02/09/2022
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