Manal Abdelaziz

Individual provider Active NPI Community Health Worker · Brooklyn, NY

NPI 1356894216 · NPPES record last updated Jul 27, 2016

Key facts

NPI
1356894216
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
License
009490 (NY)
Practice address
7105 3Rd Ave
PMB 238
Brooklyn, NY 11209-1308
Phone
(718) 663-1842
NPI assigned
Jul 27, 2016
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)
No

State licenses

LicenseStateTypeSpecialty
009490NYMDSurgical Physician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 009490 NY Yes

Addresses

Primary practice location

7105 3Rd Ave
PMB 238
Brooklyn, NY 11209-1308

Mailing address

7025 3Rd Ave
4D
Brooklyn, NY 11209
Phone (718) 663-1842

Other providers in Brooklyn, NY

All providers in Brooklyn, NY · Community Health Worker in New York

Sources for this page

Verify at the official NPI Registry.