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Dr. Fairyal Kassam, M.D.

Family Medicine in New York, NY. Individual provider (NPI-1).

NPI number1477841237
StatusActive
Last updated in NPPESJan 12, 2021

Details

NPI
1477841237
Entity type
Individual (NPI-1)
Name
Dr. Fairyal Kassam
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 14, 2011
Certification date
Jan 12, 2021
Last updated
Jan 12, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD60491262WAYes

Practice location

201 E 65th St
New York, NY 10065-6701

Phone 212-847-4700

Mailing address

14516 99th Ave Ne
Bothell, WA 98011-7274

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