Sayedeh-Fatemeh Abhary, M.D.

Individual provider Active NPI Obstetrics & Gynecology Physician · Brooklyn, NY

NPI 1194891960 · NPPES record last updated Apr 19, 2011

Key facts

NPI
1194891960
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
153796 (NY)
Practice address
630 59TH Street
Brooklyn, NY 11220
Phone
(718) 567-8300
Fax
(718) 273-4308
NPI assigned
Nov 25, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
153796NYMDObstetrics & Gynecology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 153796 NY Yes

Addresses

Primary practice location

630 59TH Street
Brooklyn, NY 11220

Mailing address

630 59TH Street
Brooklyn, NY 11220
Phone (718) 567-8300

Other identifiers

IdentifierTypeStateIssuer
00961940MedicaidNY

Other providers in Brooklyn, NY

All providers in Brooklyn, NY · Obstetrics & Gynecology Physician in New York

Sources for this page

Verify at the official NPI Registry.