Abdalla, Mohamed

Abdalla, Mohamed is an individual health care provider with primary practice located at 4802 25Th Ave , Astoria NY 11103-1021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Abdalla, Mohamed can be contacted via phone (718) 721-2787.

Contact Information

Primary practice address
4802 25Th Ave Astoria NY 11103-1021
Fax: (718) 255-6563
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 235919 New York

Profile Details

NPI number 1124037346
LBN Legal business name Abdalla, Mohamed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jul 21st, 2022 - about 2 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 1124037346 NPPES
New York MEDICAID 02644493

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