Abdalla, Abdelazim

Abdalla, Abdelazim is an individual health care provider with primary practice located at 228 Bay 43Rd St Apt. 2, Brooklyn NY 11214-6708. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Abdalla, Abdelazim can be contacted via phone (646) 358-0105.

Contact Information

Primary practice address
228 Bay 43Rd St Apt. 2 Brooklyn NY 11214-6708
Fax: (866) 670-4824
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1528498276
LBN Legal business name Abdalla, Abdelazim
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2013
Last updated Nov 16th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528498276 NPPES
New York MEDICAID 02685321

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