Brahim, Fadoul

Brahim, Fadoul is an individual health care provider with primary practice located at 147 Prince St , Brooklyn NY 11201-3007. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Brahim, Fadoul can be contacted via phone (718) 374-5949.

Contact Information

Primary practice address
147 Prince St Brooklyn NY 11201-3007
Phone: (718) 374-5949
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1093225740
LBN Legal business name Brahim, Fadoul
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2017
Last updated Oct 9th, 2017 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093225740 NPPES
New York Other 643667501 NY STATE DRIVER'S LICENSE
New York MEDICAID MV15418U NY STATE DRIVER'S LICENSE

Popular Providers