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Manal M Abdellatif

Specialist in Staten Island, NY. Individual provider (NPI-1).

NPI number1982966693
StatusActive
Last updated in NPPESJun 10, 2012

Details

NPI
1982966693
Entity type
Individual (NPI-1)
Name
Ms. Manal M Abdellatif
Sex
Female
Sole proprietor
No
Enumeration date
Jun 10, 2012
Last updated
Jun 10, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist454774101NYYes
171M00000X Case Manager/Care Coordinator16083NY

Practice location

4533 Hylan Blvd
1st Floor
Staten Island, NY 10312-6422

Phone 718-450-1550 · Fax 718-317-7370

Mailing address

4533 Hylan Blvd
1st Floor
Staten Island, NY 10312-6422

Phone 718-450-1550 · Fax 718-317-7370

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