Individual
MUSA FATAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 STANTON STREET, APARTMENTS 2, NEWARK, NJ 07114
(516) 303-2438
Mailing address
801 E 241ST ST, BRONX, NY 10470-1303
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307997
NY
Other
Enumeration date
05/31/2016
Last updated
01/12/2026
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