Provider Demographics
NPI:1275043713
Name:HAMAWY, MARY KALIL (MSTOM, DIPLOM)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:KALIL
Last Name:HAMAWY
Suffix:
Gender:F
Credentials:MSTOM, DIPLOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 7TH AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-4149
Mailing Address - Country:US
Mailing Address - Phone:718-499-4382
Mailing Address - Fax:
Practice Address - Street 1:650 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-2315
Practice Address - Country:US
Practice Address - Phone:646-355-8122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-11
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006088171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist