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Individual

DR. HAYTHUM OSAMA TAYEB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MBBS

Contact information

Practice address
19 BRADHURST AVE STE 3850S, HAWTHORNE, NY 10532-2140
(914) 909-9018
Mailing address
19 BRADHURST AVE # 3850S, HAWTHORNE, NY 10532-2140
(914) 909-9018

Taxonomy

Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
320038
NY
2084E0001X
Epilepsy Physician
320038
NY
2084N0400X
Neurology Physician
247487
MA
2084N0400X
Neurology Physician
320038
NY
261Q00000X
Clinic/Center
282N00000X
General Acute Care Hospital
390200000X
Student in an Organized Health Care Education/Training Program
245772
MA

Other

Enumeration date
09/26/2010
Last updated
11/29/2022
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