Basic Information
| Provider Information | |||||||||
| NPI: | 1235209420 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BRAHMI | ||||||||
| FirstName: | DALIA | ||||||||
| MiddleName: | |||||||||
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| Credential: | MD, MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3544 JEROME AVE | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104671005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189205521 | ||||||||
| FaxNumber: | 7185155416 | ||||||||
| Practice Location | |||||||||
| Address1: | 3544 JEROME AVE | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104671005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189205521 | ||||||||
| FaxNumber: | 7185155416 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2006 | ||||||||
| LastUpdateDate: | 04/18/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 236724 | NY | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.