Abdullah Medical PC
Organization Active NPI Internal Medicine Physician · Mount Vernon, NY
NPI 1992943062 · NPPES record last updated Jan 28, 2009
Key facts
- NPI
- 1992943062
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 219201-1 (NY)
- Legal business name
- ABDULLAH MEDICAL PC
- Practice address
- 12 N 7TH Ave FL 5
Mount Vernon, NY 10550-2026 - Phone
- (914) 664-8000
- Fax
- (914) 664-2416
- NPI assigned
- Jan 28, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Mahdi Abdullah, MD
- Title
- Owner/President
- Phone
- (914) 664-8000
Practitioners 7
-
Mahdi Abdullah, MD
-
Orhan Hakli, N.P.
-
Samuel N. Mark, MD
-
Terri-Ann McLean, NP
-
Marsha Williamson, N.P.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051102001151 | NY | Part B Supplier - Clinic/Group Practice | 4981622545 |
Receives reassigned benefits from 5 practitioners Practice locations: Mount Vernon, NY |
National Provider Directory
Locations
12 N 7th Ave
#5
Mount Vernon, NY 10550
Phone (914) 361-6626
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 219201-1 | NY | Yes |
Addresses
Primary practice location
12 N 7TH Ave FL 5
Mount Vernon, NY 10550-2026
Mailing address
43 Stratton Rd
Scarsdale, NY 10583-7552
Phone (912) 664-8000
Other providers in Mount Vernon, NY
- 4TH Avenue Dental PC
- A&Z Drug Store, Inc.
- Ab Surgical Supply Co., Inc.
- Jessica Abad
- Abdollah Yamani MD PC
- Mahdi Abdullah
- Marwan Amin Abdullah
- Naima R Abdus-Salaam
- Stephanie Abel
- Alex Aboagye
All providers in Mount Vernon, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.