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NPI Code Detail

MEDICARE: DALIA BRAHMI MD, MPH

MEDICARE:   DALIA  BRAHMI  MD, MPH
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
1207Q00000XFamily Medicine Physician236724NY

General Provider Information

NPI Number : 1235209420
Entity Type Code : Individual
Provider Name (Legal Business Name) : DALIA BRAHMI MD, MPH
Provider Business Mailing Address
First Line : 3544 JEROME AVE
Second Line :
City : BRONX
State : NY
Zip : 10467-1005
Country : US
Telephone Number : 718-920-5521
Fax Number : 718-515-5416
Provider Business Practice Location Address
First Line : 3544 JEROME AVE
Second Line :
City : BRONX
State : NY
Zip : 10467-1005
Country : US
Telephone Number : 718-920-5521
Fax Number : 718-515-5416
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 04/18/2008

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