Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 286638 | NY |
NPI | 1033416789 |
---|---|
Provider Name | Dr. Akram Hamed Al Nababteh |
First Address | Bronx, NY 10458-1000 |
Second Address | Bronx, NY 10453-4303 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2011 |
Last Update Date | 04/10/2017 |