Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 267839 | NY |
NPI | 1336375534 |
---|---|
Provider Name | Dr. M. Baraa Allaf |
First Address | Bethpage, NY 11714-3471 |
Second Address | Mineola, NY 11501-4064 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2009 |
Last Update Date | 03/02/2015 |