Atallah, Marwan
Atallah, Marwan is an sole proprietor health care provider with primary practice located at 142 Joralemon St , Brooklyn NY 11201-4709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Atallah, Marwan can be contacted via phone (718) 643-9371.Contact Information
Primary practice address
142 Joralemon St
Brooklyn NY 11201-4709
Phone: (718) 643-9371
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 128270 | New York |
Profile Details
NPI number | 1649227091 |
---|---|
LBN Legal business name | Atallah, Marwan |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 30th, 2006 |
Last updated | Apr 10th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649227091 | NPPES |
New York | MEDICAID | 00247232 |
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