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NPI Code Detail

MEDICARE: MARWA AHMAR

MEDICARE: MARWA AHMAR
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
1103K00000XBehavior AnalystNY

General Provider Information

NPI Number : 1386322154
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARWA AHMAR
Provider Business Mailing Address
First Line : 1854 HYLAN BLVD STE 2
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10305-2119
Country : US
Telephone Number : 917-553-0424
Fax Number :
Provider Business Practice Location Address
First Line : 1854 HYLAN BLVD STE 2
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10305-2119
Country : US
Telephone Number : 917-553-0424
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2023
Last Update Date : 07/10/2023

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Directions to “ MARWA AHMAR ” Practice Location

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