Basic Information
Provider Information
NPI: 1295296473
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABDELQADER
FirstName: FATMAALZAHRAA
MiddleName:  
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NameSuffix:  
Credential:  
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1000 10TH AVE
Address2: 3RD FLOOR 3A-08
City: NEW YORK
State: NY
PostalCode: 10019
CountryCode: US
TelephoneNumber: 2122596777
FaxNumber:  
Practice Location
Address1: 1000 10TH AVE
Address2:  
City: NEW YORK
State: NY
PostalCode: 100191147
CountryCode: US
TelephoneNumber: 2125238663
FaxNumber: 2125238605
Other Information
ProviderEnumerationDate: 03/28/2019
LastUpdateDate: 10/28/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/28/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X318486NYY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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