Healthcare Provider Details

I. General information

NPI: 1588221766
Provider Name (Legal Business Name): BATEEL ALAMOUSH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2019
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 DAVENPORT RD
YONKERS NY
10710-2825
US

IV. Provider business mailing address

88 DAVENPORT RD
YONKERS NY
10710-2825
US

V. Phone/Fax

Practice location:
  • Phone: 914-608-9613
  • Fax:
Mailing address:
  • Phone: 914-608-9613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number318640-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: