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NPI Code Detail

MEDICARE: HAYTHAM ATILEH M.D.

MEDICARE: HAYTHAM ATILEH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0200XCritical Care Medicine (Internal Medicine) Physician197265NY
2207RP1001XPulmonary Disease Physician197265NY
3207R00000XInternal Medicine Physician197265NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750343034
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAYTHAM ATILEH M.D.
Provider Business Mailing Address
First Line : 160 WATER ST
Second Line : 20 TH FLOOR
City : NEW YORK
State : NY
Zip : 10038-4922
Country : US
Telephone Number : 212-256-3539
Fax Number :
Provider Business Practice Location Address
First Line : 3201 KINGS HWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-2625
Country : US
Telephone Number : 212-256-3539
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 03/29/2022

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