Fatehi, Mary

Fatehi, Mary is an individual health care provider with primary practice located at 97 Amity St Fl 3 Obgyn Associates At Lich, Brooklyn NY 11201-6004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as her primary health care specialty. Fatehi, Mary can be contacted via phone (718) 780-1231.

Contact Information

Primary practice address
97 Amity St Fl 3 Obgyn Associates At Lich Brooklyn NY 11201-6004
Phone: (718) 780-1231
Fax: (718) 780-4987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 194627 New York

Profile Details

NPI number 1003863945
LBN Legal business name Fatehi, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Nov 29th, 2007 - about 17 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 1003863945 NPPES
New York MEDICAID 01532058

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