AYSAR BENYAMEN FATHALAH-MAMMOPHYSICIANPC NPI 1427347350

NPI Information

  • NPI: 1427347350
  • Provider Name: AYSAR BENYAMEN FATHALAH-MAMMO,PHYSICIAN,PC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 8000 4TH AVE
    BROOKLYN, NY
    ZIP 11209
  • Phone: (718) 748-2818

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NPI Details

AYSAR BENYAMEN FATHALAH-MAMMO,PHYSICIAN,PC is a primary care clinic center in Brooklyn, NY. AYSAR BENYAMEN FATHALAH-MAMMO,PHYSICIAN,PC NPI is 1427347350. The provider is registered as an organization entity type.

The provider's business location address is:

8000 4TH AVE
BROOKLYN, NY
ZIP 11209-959
Phone: (718) 748-2818
Fax: (718) 833-1016

The provider's authorized official is Aysar B Fathallah-mammo .
The authorized official title is President and has the following contact phone number (516) 801-0662.

The enumeration date for this NPI number is 3/31/2011 and was last updated on 3/31/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care212576NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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