Individual
DR. ADHAM HUSSEIN FAHMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1 GUSTAVE L LEVY PL, DEPT OF PATHOLOGY, NEW YORK, NY 10029-6500
(212) 241-7215
(212) 534-7491
Mailing address
959 MAIN ST, APT # B, HACKENSACK, NJ 07601-5103
(917) 586-4051
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
45998
NY
207ZP0101X
Anatomic Pathology Physician
Primary
45998
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02384861
—
NY
Enumeration date
10/28/2005
Last updated
03/23/2009
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