Individual
ALBIN ABRAHAM MAMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5141 BROADWAY, NEW YORK, NY 10034-1159
(212) 932-5138
(212) 932-5258
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 932-5138
(212) 932-5258
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
304439
NY
207R00000X
Internal Medicine Physician
BP10060347
TX
208M00000X
Hospitalist Physician
Primary
304439
NY
Other
Enumeration date
05/11/2017
Last updated
07/09/2020
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