Individual
FATME A ALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
90 PRESIDENTIAL PLZ, SYRACUSE, NY 13202-2240
(315) 464-3836
(315) 464-3837
Mailing address
90 PRESIDENTIAL PLZ, SYRACUSE, NY 13202-2240
(315) 464-3836
(315) 464-3837
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
217527
NY
207RR0500X
Rheumatology Physician
Primary
217527
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02097978
—
NY
Enumeration date
06/29/2006
Last updated
06/25/2010
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