Individual
DR. ALI DEAN TAHBOUB AMAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5874
Mailing address
34 E 149TH ST # 8-20, BRONX, NY 10451-2027
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
07/01/2022
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